Compositions and methods for detecting HEV nucleic acid

ABSTRACT

Disclosed are nucleic acid oligomers, including amplification oligomers, capture probes, and detection probes, for detection of Hepatitis E Virus (HEV) nucleic acid. Also disclosed are methods of specific nucleic acid amplification and detection using the disclosed oligomers, as well as corresponding reaction mixtures and kits.

RELATED APPLICATIONS

This application is a National Stage entry from PCT application PCT/US14/51145, filed Aug. 14, 2014, which claims the benefit under 35 U.S.C. § 119(e) of provisional application No. 61/865,848, filed Aug. 14, 2013, and of provisional application 61/941,303, filed Feb. 18, 2014, the entire contents of each of which is incorporated herein by reference in their entirety.

BACKGROUND OF THE INVENTION

Hepatitis E Virus (HEV) is a single-stranded, positive-sense RNA virus classified in the family Hepeviridae and the sole member of the genus Hepevirus, of which mammalian HEV and avian HEV are the two major known species. Dalton et al., Lancet Infect. Dis. 8:698-709, 2008; Baylis et al., J. Clin. Microbiol. 49:1234-1239, 2011. Mammalian HEV, having a reservoir in pigs and potentially other mammals, is a major cause of acute hepatitis in humans. See Dalton et al., supra. The virus is transmitted primarily via the fecal-oral route and is associated with sporadic infections and epidemics in developing countries, particularly in areas with poor sanitation and weak public health infrastructures. In developed countries, HEV infection has been considered rare, occurring primarily in individuals infected while traveling to regions where the virus is endemic. Recently, however, autochthonous infections are being reported more frequently in developed regions, including North America, Europe, Japan, New Zealand, and Australia. Autochthonous hepatitis E in developed countries is, therefore, more common than previously recognized, and may be more common than hepatitis A. Dalton et al., Lancet Infect. Dis. 8:698-709, 2008.

Four major genotypes of HEV are known to cause infections in humans. Baylis et al., supra. Clinical features of HEV infection can include mild to severe hepatitis as well as subacute liver failure. See, e.g., Pina et al., J. Hepatol. 33:826-833, 2000; Sainokami et al., J. Gastroenterol. 39:640-648, 2004; Tsang et al., Clin. Infect. Dis. 30:618-619, 2000; Widdowson et al., Clin. Infect. Dis. 36:29-33, 2003; Dalton et al., Eur. J. Gastroenterol. Hepatol. 20:784-790, 2008. HEV infection has a poor prognosis in pregnant women, as well as individuals having pre-existing chronic liver disease. See Borkakoti et al., J. Med. Virol. 85:620-626, 2013; Baylis et al., supra. Diagnostic testing for HEV in patients with hepatitis symptoms is important, particularly for patients in which other causes of acute hepatitis have been excluded. See Baylis et al., supra; Waar et al., J. Clin. Virol. 33:145-149, 2005.

Accordingly, there is a need for compositions, kits, and methods for detecting the presence or absence of HEV in a specimen with high specificity and sensitivity. Such compositions, kits, and methods would be particularly useful for the diagnosis of HEV, for the screening and/or monitoring of the presence of HEV in a blood or plasma donation, or for monitoring a patient's response to treatment. The present invention meets these and other needs.

SUMMARY OF THE INVENTION

In one aspect, the present invention provides a combination of at least two oligomers for determining the presence or absence of hepatitis E virus (HEV) in a sample. The oligomer combination includes at least two amplification oligomers for amplifying complementary nucleic acid strands of a target region of an HEV target nucleic acid, where

-   -   (a) at least one amplification oligomer is selected from (i) an         oligomer comprising a target-hybridizing sequence that is from         about 14 to about 23 contiguous nucleotides contained in the         sequence of SEQ ID NO:63 and that includes at least the sequence         of SEQ ID NO:26, including RNA equivalents and DNA/RNA chimerics         thereof, and (ii) an oligomer comprising a target-hybridizing         sequence that is from about 14 to about 23 contiguous         nucleotides contained in the sequence of SEQ ID NO:16, including         RNA equivalents and DNA/RNA chimerics thereof; and     -   (b) at least one amplification oligomer comprises a         target-hybridizing sequence that is from about 17 to about 28         contiguous nucleotides contained in the sequence of SEQ ID NO:47         and that includes at least the sequence of SEQ ID NO:25,         including RNA equivalents and DNA/RNA chimerics thereof.

Suitable amplification oligomers as specified above in (a) include oligomers comprising a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:52, SEQ ID NO:53, SEQ ID NO:54, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In some preferred variations, an amplification oligomer of (a) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In some embodiments, an amplification oligomer of (a) comprises a target-hybridizing sequence that is from about 14 to about 20 nucleotides contained in the sequence of SEQ ID NO:13 (e.g., SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, or SEQ ID NO:66).

In certain variations, an amplification oligomer as specified in (a) comprises a target-hybridizing sequence that is from 15 to 17 nucleotides contained in the sequence of SEQ ID NO:16 and that includes at least the sequence of SEQ ID NO:27, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof). In some embodiments, an amplification oligomer of (a) comprises a target-hybridizing sequence of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29 and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof).

Suitable amplification oligomers as specified above in (b) include oligomers comprising a target-hybridizing sequence selected from SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:24, SEQ ID NO:45, SEQ ID NO:46, SEQ ID NO:48, SEQ ID NO:49, SEQ ID NO:50, SEQ ID NO:51, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In some preferred variations, an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In other preferred variations, an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:45, SEQ ID NO:46, and SEQ ID NO:51, including RNA equivalents and DNA/RNA chimerics thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

In some embodiments, a combination of at least two oligomers as above includes an amplification oligomer as specified in (a)(i) and an amplification oligomer as specified in (a)(ii). In some such embodiments, the amplification oligomer of (a)(i) comprises a target-hybridizing sequence selected from SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In certain preferred variations, the amplification oligomer of (a)(i) comprises a target-hybridizing sequence selected from SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof.

In certain embodiments comprising an amplification oligomer as specified in (a)(i) and an amplification oligomer as specified in (a)(ii), the amplification oligomer of (a)(ii) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:52, SEQ ID NO:53, and SEQ ID NO:54, including RNA equivalents and DNA/RNA chimerics thereof. In certain preferred variations, the amplification oligomer of (a)(ii) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof. In particular variations, (I) the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric thereof, and the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; or (II) the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:65, or an RNA equivalent or DNA/RNA chimeric thereof, and the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29 or SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments, a combination of at least two oligomers as above includes a first amplification oligomer as specified in (a)(ii) and a second amplification oligomer as specified in (a)(ii). In some such embodiments, each of the first and second amplification oligomer as in (a)(ii) comprises a target-hybridizing sequence that is from 15 to 17 nucleotides contained in the sequence of SEQ ID NO:16 and that includes at least the sequence of SEQ ID NO:27, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof). In certain variations, each of the first and second amplification oligomers of (a)(ii) comprises a target-hybridizing sequence of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof. In a particular variations, the first amplification oligomer of (a)(ii) comprises the target hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (a)(ii) comprises the target hybridizing sequence of SEQ ID NO:32, or an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments of an oligomer combination as above, the combination includes first and second amplification oligomers as specified in (b). In some such embodiments, the first amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In other embodiments, the first amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:45, SEQ ID NO:46, and SEQ ID NO:51, including RNA equivalents and DNA/RNA chimerics thereof. In particular variations, (I) the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof; or (II) the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:23 or SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

An oligomer combination as above may include an amplification oligomer as in (a)(i), an amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b). In a particular variation, the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric thereof; the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof. In another variation, the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:65; or an RNA equivalent or DNA/RNA chimeric thereof, the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24; or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

An oligomer combination as above may include a first amplification oligomer as in (a)(ii), a second amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b). In a particular variation, the first amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the second amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:32, or an RNA equivalent or DNA/RNA chimeric thereof; the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof.

In yet other embodiments of an oligomer combination as above, an amplification oligomer of (a) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof, and an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In some such embodiments, the combination includes a set of first, second, and third amplification oligomers comprising a set of first, second, and third target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(vi) as follows: (i) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:24, including RNA equivalents and DNA/RNA chimerics thereof; (ii) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iii) SEQ ID NO:29, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iv) SEQ ID NO:66, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (v) SEQ ID NO:65, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; and (vi) SEQ ID NO:62, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

In some embodiments, an oligomer combination as above includes a set of first and second amplification oligomers comprising a set of first (A) and second (B) target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(xiv) as follows:

-   -   (i) (A) SEQ ID NO:54, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, or 51, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (ii) (A) SEQ ID NO:53, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:23, 24, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iii) (A) SEQ ID NO:52, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (iv) (A) SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NOs:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (v) (A) SEQ ID NO:30, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 50, or 51, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:66, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:65, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (ix) (A) SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (x) (A) SEQ ID NO:62, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xi) (A) SEQ ID NO:35, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xii) (A) SEQ ID NO:34, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xiii) (A) SEQ ID NO:33, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 41, 52, 44, 45, 46, or 47, or             an RNA equivalent or DNA/RNA chimeric thereof; and     -   (xiv) (A) SEQ ID NO:61, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof.             In certain embodiments comprising an amplification oligomer             having the target-hybridizing sequence of SEQ ID NO:56, the             nucleobase at position 1 of SEQ ID NO:56 is guanine (G)             (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA             chimeric thereof). In particular variations, the set of             target-hybridizing sequences A and B is selected from sets             (i)-(xiii) as follows:     -   (i) (A) SEQ ID NO:54, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (ii) (A) SEQ ID NO:53, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (iii) (A) SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 45, 49, 50, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:30, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (v) (A) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 56, 48, 50, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:66, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 23, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:65, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:64, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:22, 24, 45, 56, or 50, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (ix) (A) SEQ ID NO:62, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 23, 24, 45, or 56, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (x) (A) SEQ ID NO:35, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (xi) (A) SEQ ID NO:34, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (xii) (A) SEQ ID NO:33, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof; and     -   (xiii) (A) SEQ ID NO:61, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:22, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof.

In still other embodiments, an oligomer combination as above includes a set of first and second amplification oligomers comprising a set of first (A) and second (B) target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(x) as follows:

-   -   (i) (A) SEQ ID NO:48, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (ii) (A) SEQ ID NO:49, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (iii) (A) SEQ ID NO:50, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (v) (A) SEQ ID NO:21, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 54, 61, 62, 64, 65, or             66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:22, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 54, 61, 62, 64, 65, or             66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:23, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:24, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 52, 53, 54, 61, 62,             64, 65, or 66, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (ix) (A) SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;             and     -   (x) (A) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof.             In certain embodiments comprising an amplification oligomer             having the target-hybridizing sequence of SEQ ID NO:56, the             nucleobase at position 1 of SEQ ID NO:56 is guanine (G) SEQ             ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).             In particular variations, the set of target-hybridizing             sequences A and B is selected from sets (i)-(ix) as follows:     -   (i) (A) SEQ ID NO:49, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29 or 31, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (ii) (A) SEQ ID NO:50, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29 or 31, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (iii) (A) SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 31, 65, or 66, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:21, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (v) (A) SEQ ID NO:22, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:31, 61, 62, 64, or 66, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:23, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:33, 34, 35, 62, 65, or 66, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:54, 62, or 64, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (viii) (A) SEQ ID NO:56, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:29, 30, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof; and     -   (ix) (A) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:31, 33, 34, 35, 53, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments of an oligomer combination as above, an amplification oligomer as in (b) is a promoter primer further including a promoter sequence (e.g., a T7 promoter sequence) located 5′ to the target-hybridizing sequence. A particularly suitable promoter sequence is a T7 promoter sequence having the sequence shown in SEQ ID NO:73.

In certain embodiments, an oligomer combination further includes at least one detection probe oligomer. In particular embodiments, the detection probe oligomer includes a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof. In specific variations, the detection probe target-hybridizing sequence is selected from SEQ ID NO:37, SEQ ID NO:55, SEQ ID NO:67, and SEQ ID NO:71, including complements, DNA equivalents, and DNA/RNA chimerics thereof. A detection probe oligomer may contain a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone.

In some variations, an oligomer combination includes at least two detection probe oligomers. For example, an oligomer combination may include at least two detection probe oligomers comprising a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof. In some such embodiments, each detection probe target-hybridizing sequence is individually selected from SEQ ID NO:37, SEQ ID NO:55, SEQ ID NO:67, and SEQ ID NO:71, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In a specific variation, an oligomer combination includes a first detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:55 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof, and a second detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:67 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof. In other variations, the oligomer combination includes at least three detection probe oligomers. For example, at least three detection probe oligomers may include a first detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:37 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof; a second detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:67 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof; and a third detection probe oligomers comprising the target-hybridizing sequence of SEQ ID NO:71 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof. One or more (e.g., each) of the at least two detection probe oligomers may contain a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone.

In some embodiments, an oligomer combination further includes a capture probe oligomer comprising a target-hybridizing sequence covalently attached to a sequence or moiety that binds to an immobilized probe. Particularly suitable target-hybridizing sequences include the sequences shown in SEQ ID NO:4 and SEQ ID NO:42, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In some variations comprising a target-hybridizing sequence of SEQ ID NO:4, the nucleobase at position 20 of SEQ ID NO:4 is adenine (A). In some such variations, the nucleobase at position 19 of SEQ ID NO:4 is cytosine (C) or uracil (U). In more specific variations, the capture probe oligomer has a sequence selected from SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43. In certain embodiments, an oligomer combination further includes at least two or at least three capture probe oligomers as above. For example, an oligomer combination may include a first capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:2 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof; a second capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:6 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof; and a third capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:42 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof. In a more particular variation, the first, second, and third capture probe oligomers respectively have the sequences of SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43.

In other aspects, the present invention provides a kit or a reaction mixture comprising an oligomer combination as above.

In yet another aspect, the present invention provides a method for determining the presence or absence of hepatitis E virus (HEV) in a sample. The method generally includes the following steps: (1) contacting a sample, suspected of containing HEV, with at least two oligomers for amplifying a target region of an HEV target nucleic acid; (2) performing an in vitro nucleic acid amplification reaction, where any HEV target nucleic acid present in the sample is used as a template for generating an amplification product; and (3) detecting the presence or absence of the amplification product, thereby determining the presence or absence of HEV in the sample. The at least two amplification oligomers include

-   -   (a) at least one amplification oligomer selected from (i) an         oligomer comprising a target-hybridizing sequence that is from         about 14 to about 23 contiguous nucleotides contained in the         sequence of SEQ ID NO:63 and that includes at least the sequence         of SEQ ID NO:26, including RNA equivalents and DNA/RNA chimerics         thereof, and (ii) an oligomer comprising a target-hybridizing         sequence that is from about 14 to about 23 contiguous         nucleotides contained in the sequence of SEQ ID NO:16, including         RNA equivalents and DNA/RNA chimerics thereof; and     -   (b) at least one amplification oligomer comprising a         target-hybridizing sequence that is from about 17 to about 28         contiguous nucleotides contained in the sequence of SEQ ID NO:47         and that includes at least the sequence of SEQ ID NO:25,         including RNA equivalents and DNA/RNA chimerics thereof.

Suitable amplification oligomers as specified above in (a) include oligomers comprising a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:52, SEQ ID NO:53, SEQ ID NO:54, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In some preferred variations, an amplification oligomer of (a) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In some embodiments, an amplification oligomer of (a) comprises a target-hybridizing sequence that is from about 14 to about 20 nucleotides contained in the sequence of SEQ ID NO:13 (e.g., SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, or SEQ ID NO:66).

In certain variations a method for determining the presence or absence of HEV, an amplification oligomer as specified in (a) comprises a target-hybridizing sequence that is from 15 to 17 nucleotides contained in the sequence of SEQ ID NO:16 and that includes at least the sequence of SEQ ID NO:27, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof). In some embodiments, an amplification oligomer of (a) comprises a target-hybridizing sequence of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29 and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof).

Suitable amplification oligomers as specified above in (b) include oligomers comprising a target-hybridizing sequence selected from SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:24, SEQ ID NO:45, SEQ ID NO:46, SEQ ID NO:48, SEQ ID NO:49, SEQ ID NO:50, SEQ ID NO:51, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In some preferred variations, an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In other preferred variations, an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:45, SEQ ID NO:46, and SEQ ID NO:51, including RNA equivalents and DNA/RNA chimerics thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

In some embodiments of a method as above for determining the presence or absence HEV, the least two amplification oligomers include an amplification oligomer as specified in (a)(i) and an amplification oligomer as specified in (a)(ii). In some such embodiments, the amplification oligomer of (a)(i) comprises a target-hybridizing sequence selected from SEQ ID NO:33, SEQ ID NO:34, SEQ ID NO:35, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof. In certain preferred variations, the amplification oligomer of (a)(i) comprises a target-hybridizing sequence selected from SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof.

In certain embodiments of the method in which an amplification oligomer as specified in (a)(i) and an amplification oligomer as specified in (a)(ii) are used for amplification of the HEV target region, the amplification oligomer of (a)(ii) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:52, SEQ ID NO:53, and SEQ ID NO:54, including RNA equivalents and DNA/RNA chimerics thereof. In certain preferred variations, the amplification oligomer of (a)(ii) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof. In particular variations, (I) the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric thereof, and the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; or (II) the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:65, or an RNA equivalent or DNA/RNA chimeric thereof, and the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29 or SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments of a method as above for determining the presence or absence HEV, a combination of at least two oligomers as above includes a first amplification oligomer as specified in (a)(ii) and a second amplification oligomer as specified in (a)(ii). In some such embodiments, each of the first and second amplification oligomer as in (a)(ii) comprises a target-hybridizing sequence that is from 15 to 17 nucleotides contained in the sequence of SEQ ID NO:16 and that includes at least the sequence of SEQ ID NO:27, including RNA equivalents and DNA/RNA chimerics thereof (e.g., a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, and SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof). In certain variations, each of the first and second amplification oligomers of (a)(ii) comprises a target-hybridizing sequence of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof. In a particular variations, the first amplification oligomer of (a)(ii) comprises the target hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (a)(ii) comprises the target hybridizing sequence of SEQ ID NO:32, or an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments of a method as above, the amplifying step utilizes first and second amplification oligomers as specified in (b). In some such embodiments, the first amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In other embodiments, the first amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:45, SEQ ID NO:46, and SEQ ID NO:51, including RNA equivalents and DNA/RNA chimerics thereof. In particular variations, (I) the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof; or (II) the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:23 or SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric thereof, and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

For amplifying the HEV target region in a method as above, an amplification oligomer as in (a)(i), an amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b) may be used. In a particular variation, the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric thereof; the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof. In another variation, the amplification oligomer of (a)(i) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:65; or an RNA equivalent or DNA/RNA chimeric thereof, the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24; or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

In other embodiments for amplifying the HEV target region in a method as above, a first amplification oligomer as in (a)(ii), a second amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b) may be used. In a particular variation, the first amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric thereof; the second amplification oligomer of (a)(ii) comprises the target-hybridizing sequence of SEQ ID NO:32, or an RNA equivalent or DNA/RNA chimeric thereof; the first amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer of (b) comprises the target-hybridizing sequence of SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof.

In yet other embodiments of a method for determining the presence or absence of HEV as above, an amplification oligomer of (a) comprises a target-hybridizing sequence selected from SEQ ID NO:29, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, and SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof, and an amplification oligomer of (b) comprises a target-hybridizing sequence selected from SEQ ID NO:24 and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In some such embodiments, the amplifying step uses an oligomer combination that includes a set of first, second, and third amplification oligomers comprising a set of first, second, and third target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(vi) as follows: (i) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:24, including RNA equivalents and DNA/RNA chimerics thereof; (ii) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iii) SEQ ID NO:29, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iv) SEQ ID NO:66, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (v) SEQ ID NO:65, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; and (vi) SEQ ID NO:62, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof. In certain variations comprising an amplification oligomer having the target-hybridizing sequence of SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G) (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA chimeric thereof).

In some embodiments, the amplifying step uses an oligomer combination that includes a set of first and second amplification oligomers comprising a set of first (A) and second (B) target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(xiv) as follows:

-   -   (i) (A) SEQ ID NO:54, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, or 51, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (ii) (A) SEQ ID NO:53, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:23, 24, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iii) (A) SEQ ID NO:52, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (iv) (A) SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NOs:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (v) (A) SEQ ID NO:30, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 50, or 51, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:66, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:65, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (ix) (A) SEQ ID NO:64, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (x) (A) SEQ ID NO:62, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xi) (A) SEQ ID NO:35, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xii) (A) SEQ ID NO:34, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (xiii) (A) SEQ ID NO:33, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof; and     -   (xiv) (A) SEQ ID NO:61, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 22, 23, 24, 45, 56, 48, 49, 50, or 51, or             an RNA equivalent or DNA/RNA chimeric thereof.             In certain embodiments comprising an amplification oligomer             having the target-hybridizing sequence of SEQ ID NO:56, the             nucleobase at position 1 of SEQ ID NO:56 is guanine (G)             (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA             chimeric thereof). In particular variations, the set of             target-hybridizing sequences A and B is selected from sets             (i)-(xiii) as follows:     -   (i) (A) SEQ ID NO:54, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (ii) (A) SEQ ID NO:53, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (iii) (A) SEQ ID NO:31, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 45, 49, 50, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:30, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (v) (A) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:21, 56, 48, 50, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:66, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 23, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:65, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, 56, or 51, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:64, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:22, 24, 45, 56, or 50, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (ix) (A) SEQ ID NO:62, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:22, 23, 24, 45, or 56, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (x) (A) SEQ ID NO:35, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (xi) (A) SEQ ID NO:34, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (xii) (A) SEQ ID NO:33, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:23, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof; and     -   (xiii) (A) SEQ ID NO:61, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:22, 45, or 56, or an RNA equivalent or DNA/RNA             chimeric thereof.

In still other embodiments, the amplifying step uses an oligomer combination that includes a set of first and second amplification oligomers comprising a set of first (A) and second (B) target-hybridizing sequences, respectively, where the set of target-hybridizing sequences is selected from sets (i)-(x) as follows:

-   -   (i) (A) SEQ ID NO:48, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (ii) (A) SEQ ID NO:49, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (iii) (A) SEQ ID NO:50, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 31, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (v) (A) SEQ ID NO:21, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 54, 61, 62, 64, 65, or             66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:22, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 54, 61, 62, 64, 65, or             66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:23, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;     -   (viii) (A) SEQ ID NO:24, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 52, 53, 54, 61, 62,             64, 65, or 66, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (ix) (A) SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof;             and     -   (x) (A) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 30, 31, 33, 34, 35, 53, 54, 61, 62, 64,             65, or 66, or an RNA equivalent or DNA/RNA chimeric thereof.             In certain embodiments comprising an amplification oligomer             having the target-hybridizing sequence of SEQ ID NO:56, the             nucleobase at position 1 of SEQ ID NO:56 is guanine (G)             (i.e., SEQ ID NO:46, or an RNA equivalent or DNA/RNA             chimeric thereof). In particular variations, the set of             target-hybridizing sequences A and B is selected from sets             (i)-(ix) as follows:     -   (i) (A) SEQ ID NO:49, including RNA equivalents and DNA/RNA         chimerics thereof, and         -   (B) SEQ ID NO:29 or 31, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (ii) (A) SEQ ID NO:50, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29 or 31, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (iii) (A) SEQ ID NO:51, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, 31, 65, or 66, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (iv) (A) SEQ ID NO:21, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:29, or an RNA equivalent or DNA/RNA chimeric             thereof;     -   (v) (A) SEQ ID NO:22, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:31, 61, 62, 64, or 66, or an RNA equivalent or             DNA/RNA chimeric thereof;     -   (vi) (A) SEQ ID NO:23, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:33, 34, 35, 62, 65, or 66, or an RNA             equivalent or DNA/RNA chimeric thereof;     -   (vii) (A) SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:54, 62, or 64, or an RNA equivalent or DNA/RNA             chimeric thereof;     -   (viii) (A) SEQ ID NO:56, or an RNA equivalent or DNA/RNA         chimeric thereof, and         -   (B) SEQ ID NO:29, 30, 33, 34, 35, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof; and     -   (ix) (A) SEQ ID NO:45, or an RNA equivalent or DNA/RNA chimeric         thereof, and         -   (B) SEQ ID NO:31, 33, 34, 35, 53, 61, 62, 64, 65, or 66, or             an RNA equivalent or DNA/RNA chimeric thereof.

In some embodiments of a method for determining the presence or absence of HEV as above, an amplification oligomer as in (b) is a promoter primer further including a promoter sequence (e.g., a T7 promoter sequence) located 5′ to the target-hybridizing sequence. A particularly suitable promoter sequence is a T7 promoter sequence having the sequence shown in SEQ ID NO:73.

Typically, the method for determining the presence or absence of HEV further includes purifying the HEV target nucleic acid from other components in the sample before the amplification step (1). In particular embodiments, the purifying step includes contacting the sample with at least one capture probe oligomer comprising a target-hybridizing sequence covalently attached to a sequence or moiety that binds to an immobilized probe. Particularly suitable target-hybridizing sequences include the sequences shown in SEQ ID NO:4 and SEQ ID NO:42, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In some variations of the method comprising the use of a target-hybridizing sequence of SEQ ID NO:4, the nucleobase at position 20 of SEQ ID NO:4 is adenine (A). In some such variations, the nucleobase at position 19 of SEQ ID NO:4 is cytosine (C) or uracil (U). In more specific variations, the capture probe oligomer has a sequence selected from SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43. In certain embodiments, the purifying step includes the use of at least two or at least three capture probe oligomers as above. For example, the purifying step may include using a first capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:2 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof; a second capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:6 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof; and a third capture probe oligomer comprising the target-hybridizing sequence of SEQ ID NO:42 or its complement, or a DNA equivalent or DNA/RNA chimeric thereof. In a more particular variation, the first, second, and third capture probe oligomers respectively have the sequences of SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43.

In some embodiments, the detecting step (3) includes contacting the in vitro nucleic acid amplification reaction with at least one detection probe oligomer configured to specifically hybridize to the amplification product under conditions whereby the presence or absence of the amplification product is determined, thereby determining the presence or absence of HEV in the sample. In particular embodiments, the detection probe oligomer includes a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof. In specific variations, the detection probe target-hybridizing sequence is selected from SEQ ID NO:37, SEQ ID NO:55, SEQ ID NO:67, and SEQ ID NO:71, including complements, DNA equivalents, and DNA/RNA chimerics thereof. A detection probe oligomer may contain a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone.

In some variations, the detecting step includes contacting the in vitro nucleic acid amplification reaction with at least two detection probe oligomers. For example, the in vitro nucleic acid amplification reaction may be contacted with at least two detection probe oligomers comprising a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof. In some such embodiments, each detection probe target-hybridizing sequence is individually selected from SEQ ID NO:37, SEQ ID NO:55, SEQ ID NO:67, and SEQ ID NO:71, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In a specific variation, the detecting step includes contacting the in vitro nucleic acid amplification reaction with a first detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:55 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof, and a second detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:67 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof. In other variations, the detecting step includes contacting the in vitro nucleic acid amplification reaction with at least three detection probe oligomers. The at least three detection probe oligomers may include a first detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:37 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof; a second detection probe oligomer comprising the target hybridizing sequence of SEQ ID NO:67 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof; and a third detection probe oligomers comprising the target-hybridizing sequence of SEQ ID NO:71 or its complement, or an RNA equivalent or DNA/RNA chimeric thereof. One or more (e.g., each) of the at least two detection probe oligomers may contain a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone.

In some embodiments of a method utilizing a detection probe oligomer, the detection probe includes at least one label. In specific variations, the one or more label(s) are selected from a chemiluminescent label, a fluorescent label, a quencher, or any combination thereof. In certain embodiments, the detecting step (3) detects hybridization of the at least one labeled detection probe oligomer to the amplification product in a homogeneous detection system. A particularly suitable label for use in a homogeneous detection system is a chemiluminescent acridinium ester (AE) compound linked between two nucleobases of the at least one detection probe oligomer.

In certain variations of a method for determining the presence or absence of HEV as above, the amplification reaction at step (2) is an isothermal amplification reaction such as, for example, a transcription-mediated amplification (TMA) reaction.

These and other aspects of the invention will become evident upon reference to the following detailed description of the invention and the attached drawings.

DEFINITIONS

Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art pertinent to the methods and compositions described. As used herein, the following terms and phrases have the meanings ascribed to them unless specified otherwise.

The terms “a,” “an,” and “the” include plural referents, unless the context clearly indicates otherwise. For example, “a nucleic acid” as used herein is understood to represent one or more nucleic acids. As such, the terms “a” (or “an”), “one or more,” and “at least one” can be used interchangeably herein.

“Sample” includes any specimen that may contain hepatitis E virus (HEV) (including, e.g., any one of HEV genotypes 1, 2, 3, or 4) or components thereof, such as nucleic acids or fragments of nucleic acids. Samples include “biological samples” which include any tissue or material derived from a living or dead human that may contain HEV or target nucleic acid derived therefrom, including, e.g., peripheral blood, plasma, serum, lymph node, gastrointestinal tissue (e.g., liver), or other body fluids or materials. The biological sample may be treated to physically or mechanically disrupt tissue or cell structure, thus releasing intracellular components into a solution which may further contain enzymes, buffers, salts, detergents and the like, which are used to prepare, using standard methods, a biological sample for analysis. Also, samples may include processed samples, such as those obtained from passing samples over or through a filtering device, or following centrifugation, or by adherence to a medium, matrix, or support.

“Nucleic acid” refers to a multimeric compound comprising two or more covalently bonded nucleosides or nucleoside analogs having nitrogenous heterocyclic bases, or base analogs, where the nucleosides are linked together by phosphodiester bonds or other linkages to form a polynucleotide. Nucleic acids include RNA, DNA, or chimeric DNA-RNA polymers or oligonucleotides, and analogs thereof. A nucleic acid “backbone” may be made up of a variety of linkages, including one or more of sugar-phosphodiester linkages, peptide-nucleic acid bonds (in “peptide nucleic acids” or PNAs, see, e.g., International Patent Application Pub. No. WO 95/32305), phosphorothioate linkages, methylphosphonate linkages, or combinations thereof. Sugar moieties of the nucleic acid may be either ribose or deoxyribose, or similar compounds having known substitutions such as, for example, 2′-methoxy substitutions and 2′-halide substitutions (e.g., 2′-F). Nitrogenous bases may be conventional bases (A, G, C, T, U), analogs thereof (e.g., inosine, 5-methylisocytosine, isoguanine; see, e.g., The Biochemistry of the Nucleic Acids 5-36, Adams et al., ed., 11th ed., 1992; Abraham et al., 2007, BioTechniques 43: 617-24), which include derivatives of purine or pyrimidine bases (e.g., N⁴-methyl deoxygaunosine, deaza- or aza-purines, deaza- or aza-pyrimidines, pyrimidine bases having substituent groups at the 5 or 6 position, purine bases having an altered or replacement substituent at the 2, 6 and/or 8 position, such as 2-amino-6-methylaminopurine, O⁶-methylguanine, 4-thio-pyrimidines, 4-amino-pyrimidines, 4-dimethylhydrazine-pyrimidines, and O⁴-alkyl-pyrimidines, and pyrazolo-compounds, such as unsubstituted or 3-substituted pyrazolo[3,4-d]pyrimidine; U.S. Pat. Nos. 5,378,825, 6,949,367 and International Patent Application Pub. No. WO 93/13121, each incorporated by reference herein). Nucleic acids may include “abasic” residues in which the backbone does not include a nitrogenous base for one or more residues (see, e.g., U.S. Pat. No. 5,585,481, incorporated by reference herein). A nucleic acid may comprise only conventional sugars, bases, and linkages as found in RNA and DNA, or may include conventional components and substitutions (e.g., conventional bases linked by a 2′-methoxy backbone, or a nucleic acid including a mixture of conventional bases and one or more base analogs). Nucleic acids may include “locked nucleic acids” (LNA), in which one or more nucleotide monomers have a bicyclic furanose unit locked in an RNA mimicking sugar conformation, which enhances hybridization affinity toward complementary sequences in single-stranded RNA (ssRNA), single-stranded DNA (ssDNA), or double-stranded DNA (dsDNA) (Vester et al., Biochemistry 43:13233-41, 2004, incorporated by reference herein). Nucleic acids may include modified bases to alter the function or behavior of the nucleic acid, e.g., addition of a 3′-terminal dideoxynucleotide to block additional nucleotides from being added to the nucleic acid. Synthetic methods for making nucleic acids in vitro are well-known in the art although nucleic acids may be purified from natural sources using routine techniques.

The term “polynucleotide” as used herein denotes a nucleic acid chain. Throughout this application, nucleic acids are designated by the 5′-terminus to the 3′-terminus. Synthetic nucleic acids, e.g., DNA, RNA, DNA/RNA chimerics, (including when non-natural nucleotides or analogues are included therein), are typically synthesized “3′-to-5′,” i.e., by the addition of nucleotides to the 5′-terminus of a growing nucleic acid.

A “nucleotide” as used herein is a subunit of a nucleic acid consisting of a phosphate group, a 5-carbon sugar, and a nitrogenous base (also referred to herein as “nucleobase”). The 5-carbon sugar found in RNA is ribose. In DNA, the 5-carbon sugar is 2′-deoxyribose. The term also includes analogs of such subunits, such as a methoxy group at the 2′ position of the ribose (also referred to herein as “2′-O-Me” or “2′-methoxy”). As used herein, methoxy oligonucleotides containing “T” residues have a methoxy group at the 2′ position of the ribose moiety, and a uracil at the base position of the nucleotide.

A “non-nucleotide unit” as used herein is a unit that does not significantly participate in hybridization of a polymer. Such units must not, for example, participate in any significant hydrogen bonding with a nucleotide, and would exclude units having as a component one of the five nucleotide bases or analogs thereof.

A “target nucleic acid” as used herein is a nucleic acid comprising a target sequence to be amplified. Target nucleic acids may be DNA or RNA as described herein, and may be either single-stranded or double-stranded. The target nucleic acid may include other sequences besides the target sequence, which may not be amplified.

The term “target sequence” as used herein refers to the particular nucleotide sequence of the target nucleic acid that is to be amplified and/or detected. The “target sequence” includes the complexing sequences to which oligonucleotides (e.g., priming oligonucleotides and/or promoter oligonucleotides) complex during an amplification processes (e.g., TMA). Where the target nucleic acid is originally single-stranded, the term “target sequence” will also refer to the sequence complementary to the “target sequence” as present in the target nucleic acid. Where the target nucleic acid is originally double-stranded, the term “target sequence” refers to both the sense (+) and antisense (−) strands.

“Target-hybridizing sequence” is used herein to refer to the portion of an oligomer that is configured to hybridize with a target nucleic acid sequence. Preferably, the target-hybridizing sequences are configured to specifically hybridize with a target nucleic acid sequence. Target-hybridizing sequences may be 100% complementary to the portion of the target sequence to which they are configured to hybridize, but not necessarily. Target-hybridizing sequences may also include inserted, deleted and/or substituted nucleotide residues relative to a target sequence. Less than 100% complementarity of a target-hybridizing sequence to a target sequence may arise, for example, when the target nucleic acid is a plurality strains within a species, such as would be the case for an oligomer configured to hybridize to various genotypes of HEV. It is understood that other reasons exist for configuring a target-hybridizing sequence to have less than 100% complementarity to a target nucleic acid.

The term “targets a sequence” as used herein in reference to a region of HEV nucleic acid refers to a process whereby an oligonucleotide hybridizes to the target sequence in a manner that allows for amplification and detection as described herein. In one preferred embodiment, the oligonucleotide is complementary with the targeted HEV nucleic acid sequence and contains no mismatches. In another preferred embodiment, the oligonucleotide is complementary but contains 1, 2, 3, 4, or 5 mismatches with the targeted HEV nucleic acid sequence. Preferably, the oligonucleotide that hybridizes to the HEV nucleic acid sequence includes at least 10 to as many as 50 nucleotides complementary to the target sequence. It is understood that at least 10 and as many as 50 is an inclusive range such that 10, 50 and each whole number there between are included. Preferably, the oligomer specifically hybridizes to the target sequence.

The term “configured to” denotes an actual arrangement of the polynucleotide sequence configuration of a referenced oligonucleotide target-hybridizing sequence. For example, amplification oligomers that are configured to generate a specified amplicon from a target sequence have polynucleotide sequences that hybridize to the target sequence and can be used in an amplification reaction to generate the amplicon. Also as an example, oligonucleotides that are configured to specifically hybridize to a target sequence have a polynucleotide sequence that specifically hybridizes to the referenced sequence under stringent hybridization conditions.

The term “configured to specifically hybridize to” as used herein means that the target-hybridizing region of an amplification oligonucleotide, detection probe, or other oligonucleotide is designed to have a polynucleotide sequence that could target a sequence of the referenced HEV target region. Such an oligonucleotide is not limited to targeting that sequence only, but is rather useful as a composition, in a kit, or in a method for targeting a HEV target nucleic acid. The oligonucleotide is designed to function as a component of an assay for amplification and detection of HEV from a sample, and therefore is designed to target HEV in the presence of other nucleic acids commonly found in testing samples. “Specifically hybridize to” does not mean exclusively hybridize to, as some small level of hybridization to non-target nucleic acids may occur, as is understood in the art. Rather, “specifically hybridize to” means that the oligonucleotide is configured to function in an assay to primarily hybridize the target so that an accurate detection of target nucleic acid in a sample can be determined.

The term “fragment,” as used herein in reference to the HEV targeted nucleic acid, refers to a piece of contiguous nucleic acid. In certain embodiments, the fragment includes contiguous nucleotides from an HEV RNA corresponding to SEQ ID NO:1, wherein the number of contiguous nucleotides in the fragment are less than that for the entire sequence corresponding to SEQ ID NO:1.

The term “region,” as used herein, refers to a portion of a nucleic acid wherein said portion is smaller than the entire nucleic acid. For example, when the nucleic acid in reference is an oligonucleotide promoter primer, the term “region” may be used refer to the smaller promoter portion of the entire oligonucleotide. Similarly, and also as example only, when the nucleic acid is an HEV RNA, the term “region” may be used to refer to a smaller area of the nucleic acid, wherein the smaller area is targeted by one or more oligonucleotides of the invention. As another non-limiting example, when the nucleic acid in reference is an amplicon, the term region may be used to refer to the smaller nucleotide sequence identified for hybridization by the target-hybridizing sequence of a probe.

The interchangeable terms “oligomer,” “oligo,” and “oligonucleotide” refer to a nucleic acid having generally less than 1,000 nucleotide (nt) residues, including polymers in a range having a lower limit of about 5 nt residues and an upper limit of about 500 to 900 nt residues. In some embodiments, oligonucleotides are in a size range having a lower limit of about 12 to 15 nt and an upper limit of about 50 to 600 nt, and other embodiments are in a range having a lower limit of about 15 to 20 nt and an upper limit of about 22 to 100 nt. Oligonucleotides may be purified from naturally occurring sources or may be synthesized using any of a variety of well-known enzymatic or chemical methods. Preferably, oligonucleotides are synthesized using, for example, a DNA synthesizer and related chemistry (e.g., ABI 3900, Life Technologies, Foster City, Calif.). A synthesized amplification oligomer can, in one aspect, be an oligonucleotide synthesized using an automated synthesizer and phosphoramidite chemistry. In one aspect, the synthesized oligonucleotide is made using phosphoramidite chemistry and the most 3′-terminal hydroxyl group is covalently bound to a solid support. Solid supports include, but are not limited to controlled pore glass (CPG) and macroporous polystyrene (MPPS). In one aspect, the synthesized oligonucleotide is made using phosphoramidite chemistry and the phosphoramidite building block have protective groups attached to their functional groups. Reactive groups include, but are not limited to, dimethoxytrityl (DMT), t-butyldimethylsilyl) groups (TBDMS), tri-iso-propylsilyloxymethyl) group (TOM), and 2-cyanoethyl groups. The term oligonucleotide does not denote any particular function to the reagent; rather, it is used generically to cover all such reagents described herein. An oligonucleotide may serve various different functions. For example, it may function as a primer if it is specific for and capable of hybridizing to a complementary strand and can further be extended in the presence of a nucleic acid polymerase; it may function as a primer and provide a promoter if it contains a sequence recognized by an RNA polymerase and allows for transcription (e.g., a T7 Primer); and it may function to detect a target nucleic acid if it is capable of hybridizing to the target nucleic acid, or an amplicon thereof, and further provides a detectible moiety (e.g., an acridinium-ester compound).

As used herein, an oligonucleotide “substantially corresponding to” a specified reference nucleic acid sequence means that the oligonucleotide is sufficiently similar to the reference nucleic acid sequence such that the oligonucleotide has similar hybridization properties to the reference nucleic acid sequence in that it would hybridize with the same target nucleic acid sequence under stringent hybridization conditions. One skilled in the art will understand that “substantially corresponding oligonucleotides” can vary from a reference sequence and still hybridize to the same target nucleic acid sequence. It is also understood that a first nucleic acid corresponding to a second nucleic acid includes the RNA or DNA equivalent thereof as well as DNA/RNA chimerics thereof, and includes the complements thereof, unless the context clearly dictates otherwise. This variation from the nucleic acid may be stated in terms of a percentage of identical bases within the sequence or the percentage of perfectly complementary bases between the probe or primer and its target sequence. Thus, in certain embodiments, an oligonucleotide “substantially corresponds” to a reference nucleic acid sequence if these percentages of base identity or complementarity are from 100% to about 80%. In preferred embodiments, the percentage is from 100% to about 85%. In more preferred embodiments, this percentage is from 100% to about 90%; in other preferred embodiments, this percentage is from 100% to about 95%. Similarly, a region of a nucleic acid or amplified nucleic acid can be referred to herein as corresponding to a reference nucleic acid sequence. One skilled in the art will understand the various modifications to the hybridization conditions that might be required at various percentages of complementarity to allow hybridization to a specific target sequence without causing an unacceptable level of non-specific hybridization.

As used herein, the phrase “or its complement, or an RNA equivalent or DNA/RNA chimeric thereof,” with reference to a DNA sequence, includes (in addition to the referenced DNA sequence) the complement of the DNA sequence, an RNA equivalent of the referenced DNA sequence, an RNA equivalent of the complement of the referenced DNA sequence, a DNA/RNA chimeric of the referenced DNA sequence, and a DNA/RNA chimeric of the complement of the referenced DNA sequence. Similarly, the phrase “or its complement, or a DNA equivalent or DNA/RNA chimeric thereof,” with reference to an RNA sequence, includes (in addition to the referenced RNA sequence) the complement of the RNA sequence, a DNA equivalent of the referenced RNA sequence, a DNA equivalent of the complement of the referenced RNA sequence, a DNA/RNA chimeric of the referenced RNA sequence, and a DNA/RNA chimeric of the complement of the referenced RNA sequence.

As used herein, a “blocking moiety” is a substance used to “block” the 3′-terminus of an oligonucleotide or other nucleic acid so that it cannot be efficiently extended by a nucleic acid polymerase. Oligomers not intended for extension by a nucleic acid polymerase may include a blocker group that replaces the 3′ OH to prevent enzyme-mediated extension of the oligomer in an amplification reaction. For example, blocked amplification oligomers and/or detection probes present during amplification may not have functional 3′ OH and instead include one or more blocking groups located at or near the 3′ end. In some embodiments a blocking group near the 3′ end and may be within five residues of the 3′ end and is sufficiently large to limit binding of a polymerase to the oligomer. In other embodiments a blocking group is covalently attached to the 3′ terminus. Many different chemical groups may be used to block the 3′ end, e.g., alkyl groups, non-nucleotide linkers, alkane-diol dideoxynucleotide residues, and cordycepin.

An “amplification oligomer” is an oligomer, at least the 3′-end of which is complementary to a target nucleic acid, and which hybridizes to a target nucleic acid, or its complement, and participates in a nucleic acid amplification reaction. An example of an amplification oligomer is a “primer” that hybridizes to a target nucleic acid and contains a 3′ OH end that is extended by a polymerase in an amplification process. Another example of an amplification oligomer is an oligomer that is not extended by a polymerase (e.g., because it has a 3′ blocked end) but participates in or facilitates amplification. For example, the 5′ region of an amplification oligonucleotide may include a promoter sequence that is non-complementary to the target nucleic acid (which may be referred to as a “promoter primer” or “promoter provider”). Those skilled in the art will understand that an amplification oligomer that functions as a primer may be modified to include a 5′ promoter sequence, and thus function as a promoter primer. Incorporating a 3′ blocked end further modifies the promoter primer, which is now capable of hybridizing to a target nucleic acid and providing an upstream promoter sequence that serves to initiate transcription, but does not provide a primer for oligo extension. Such a modified oligo is referred to herein as a “promoter provider” oligomer. Size ranges for amplification oligonucleotides include those that are about 10 to about 70 nt long (not including any promoter sequence or poly-A tails) and contain at least about 10 contiguous bases, or even at least 12 contiguous bases that are complementary to a region of the target nucleic acid sequence (or a complementary strand thereof). The contiguous bases are at least 80%, or at least 90%, or completely complementary to the target sequence to which the amplification oligomer binds. An amplification oligomer may optionally include modified nucleotides or analogs, or additional nucleotides that participate in an amplification reaction but are not complementary to or contained in the target nucleic acid, or template sequence. It is understood that when referring to ranges for the length of an oligonucleotide, amplicon, or other nucleic acid, that the range is inclusive of all whole numbers (e.g., 19-25 contiguous nucleotides in length includes 19, 20, 21, 22, 23, 24 & 25).

As used herein, a “promoter” is a specific nucleic acid sequence that is recognized by a DNA-dependent RNA polymerase (“transcriptase”) as a signal to bind to the nucleic acid and begin the transcription of RNA at a specific site.

As used herein, a “promoter provider” or “provider” refers to an oligonucleotide comprising first and second regions, and which is modified to prevent the initiation of DNA synthesis from its 3′-terminus. The “first region” of a promoter provider oligonucleotide comprises a base sequence that hybridizes to a DNA template, where the hybridizing sequence is situated 3′, but not necessarily adjacent to, a promoter region. The hybridizing portion of a promoter oligonucleotide is typically at least 10 nucleotides in length, and may extend up to 50 or more nucleotides in length. The “second region” comprises a promoter sequence for an RNA polymerase. A promoter oligonucleotide is engineered so that it is incapable of being extended by an RNA- or DNA-dependent DNA polymerase, e.g., reverse transcriptase, preferably comprising a blocking moiety at its 3′-terminus as described above. As referred to herein, a “T7 Provider” is a blocked promoter provider oligonucleotide that provides an oligonucleotide sequence that is recognized by T7 RNA polymerase.

A “terminating oligonucleotide” is an oligonucleotide comprising a base sequence that is substantially complementary to a sequence within the target nucleic acid in the vicinity of the 5′-end of the target region, so as to “terminate” primer extension of a nascent nucleic acid that includes a priming oligonucleotide, thereby providing a defined 3′-end for the nascent nucleic acid strand. A terminating oligonucleotide is designed to hybridize to the target nucleic acid at a position sufficient to achieve the desired 3′-end for the nascent nucleic acid strand. The positioning of the terminating oligonucleotide is flexible depending upon its design. A terminating oligonucleotide may be modified or unmodified. In certain embodiments, terminating oligonucleotides are synthesized with at least one or more 2′-O-ME ribonucleotides. These modified nucleotides have demonstrated higher thermal stability of complementary duplexes. The 2′-O-ME ribonucleotides also function to increase the resistance of oligonucleotides to exonucleases, thereby increasing the half-life of the modified oligonucleotides. (See, e.g., Majlessi et al., Nucleic Acids Res. 26:2224-9, 1988, incorporated by reference herein.) Other modifications as described elsewhere herein may be utilized in addition to or in place of 2′-O-Me ribonucleotides. For example, a terminating oligonucleotide may comprise PNA or an LNA. (See, e.g., Petersen et al., J. Mol. Recognit. 13:44-53, 2000, incorporated by reference herein.) A terminating oligonucleotide of the present invention typically includes a blocking moiety at its 3′-terminus to prevent extension. A terminating oligonucleotide may also comprise a protein or peptide joined to the oligonucleotide so as to terminate further extension of a nascent nucleic acid chain by a polymerase. A terminating oligonucleotide of the present invention is typically at least 10 bases in length, and may extend up to 15, 20, 25, 30, 35, 40, 50 or more nucleotides in length. While a terminating oligonucleotide typically or necessarily includes a 3′-blocking moiety, “3′-blocked” oligonucleotides are not necessarily terminating oligonucleotides.

“Amplification” refers to any known procedure for obtaining multiple copies of a target nucleic acid sequence or its complement or fragments thereof. The multiple copies may be referred to as amplicons or amplification products. Amplification of “fragments” refers to production of an amplified nucleic acid that contains less than the complete target nucleic acid or its complement, e.g., produced by using an amplification oligonucleotide that hybridizes to, and initiates polymerization from, an internal position of the target nucleic acid. Known amplification methods include, for example, replicase-mediated amplification, polymerase chain reaction (PCR), ligase chain reaction (LCR), strand-displacement amplification (SDA), and transcription-mediated or transcription-associated amplification. Replicase-mediated amplification uses self-replicating RNA molecules, and a replicase such as QB-replicase (see, e.g., U.S. Pat. No. 4,786,600, incorporated by reference herein). PCR amplification uses a DNA polymerase, pairs of primers, and thermal cycling to synthesize multiple copies of two complementary strands of dsDNA or from a cDNA (see, e.g., U.S. Pat. Nos. 4,683,195; 4,683,202; and 4,800,159; each incorporated by reference herein). LCR amplification uses four or more different oligonucleotides to amplify a target and its complementary strand by using multiple cycles of hybridization, ligation, and denaturation (see, e.g., U.S. Pat. Nos. 5,427,930 and 5,516,663, each incorporated by reference herein). SDA uses a primer that contains a recognition site for a restriction endonuclease and an endonuclease that nicks one strand of a hemimodified DNA duplex that includes the target sequence, whereby amplification occurs in a series of primer extension and strand displacement steps (see, e.g., U.S. Pat. Nos. 5,422,252; 5,547,861; and 5,648,211; each incorporated by reference herein).

Transcription-associated amplification” or “transcription-mediated amplification” (TMA) refer to nucleic acid amplification that uses an RNA polymerase to produce multiple RNA transcripts from a nucleic acid template. These methods generally employ an RNA polymerase, a DNA polymerase, deoxyribonucleoside triphosphates, ribonucleoside triphosphates, and a template complementary oligonucleotide that includes a promoter sequence, and optionally may include one or more other oligonucleotides. TMA methods and single-primer transcription-associated amplification methods are embodiments of amplification methods used for detection of HEV target sequences as described herein. Variations of transcription-associated amplification are well-known in the art as previously disclosed in detail (see, e.g., U.S. Pat. Nos. 4,868,105; 5,124,246; 5,130,238; 5,399,491; 5,437,990; 5,554,516; and 7,374,885; and International Patent Application Pub. Nos. WO 88/01302; WO 88/10315; and WO 95/03430; each incorporated by reference herein). The person of ordinary skill in the art will appreciate that the disclosed compositions may be used in amplification methods based on extension of oligomer sequences by a polymerase.

As used herein, the term “real-time TMA” refers to single-primer transcription-mediated amplification (“TMA”) of target nucleic acid that is monitored by real-time detection means.

The term “amplicon” or “amplification product” as used herein refers to the nucleic acid molecule generated during an amplification procedure that is complementary or homologous to a sequence contained within the target sequence. The complementary or homologous sequence of an amplicon is sometimes referred to herein as a “target-specific sequence.” Amplicons generated using the amplification oligomers of the current invention may comprise non-target specific sequences. Amplicons can be double-stranded or single-stranded and can include DNA, RNA, or both. For example, DNA-dependent RNA polymerase transcribes single-stranded amplicons from double-stranded DNA during transcription-mediated amplification procedures. These single-stranded amplicons are RNA amplicons and can be either strand of a double-stranded complex, depending on how the amplification oligomers are configured. Thus, amplicons can be single-stranded RNA. RNA-dependent DNA polymerases synthesize a DNA strand that is complementary to an RNA template. Thus, amplicons can be double-stranded DNA and RNA hybrids. RNA-dependent DNA polymerases often include RNase activity, or are used in conjunction with an RNase, which degrades the RNA strand. Thus, amplicons can be single stranded DNA. RNA-dependent DNA polymerases and DNA-dependent DNA polymerases synthesize complementary DNA strands from DNA templates. Thus, amplicons can be double-stranded DNA. RNA-dependent RNA polymerases synthesize RNA from an RNA template. Thus, amplicons can be double-stranded RNA. DNA-dependent RNA polymerases synthesize RNA from double-stranded DNA templates, also referred to as transcription. Thus, amplicons can be single stranded RNA. Amplicons and methods for generating amplicons are known to those skilled in the art. For convenience herein, a single strand of RNA or a single strand of DNA may represent an amplicon generated by an amplification oligomer combination of the current invention. Such representation is not meant to limit the amplicon to the representation shown. Skilled artisans in possession of the instant disclosure will use amplification oligomers and polymerase enzymes to generate any of the numerous types of amplicons, all within the spirit and scope of the current invention.

A “non-target-specific sequence,” as is used herein refers to a region of an oligomer sequence, wherein said region does not stably hybridize with a target sequence under standard hybridization conditions. Oligomers with non-target-specific sequences include, but are not limited to, promoter primers and molecular beacons. An amplification oligomer may contain a sequence that is not complementary to the target or template sequence; for example, the 5′ region of a primer may include a promoter sequence that is non-complementary to the target nucleic acid (referred to as a “promoter primer”). Those skilled in the art will understand that an amplification oligomer that functions as a primer may be modified to include a 5′ promoter sequence, and thus function as a promoter primer. Similarly, a promoter primer may be modified by removal of, or synthesis without, a promoter sequence and still function as a primer. A 3′ blocked amplification oligomer may provide a promoter sequence and serve as a template for polymerization (referred to as a “promoter provider”). Thus, an amplicon that is generated by an amplification oligomer member such as a promoter primer will comprise a target-specific sequence and a non-target-specific sequence.

“Detection probe,” “detection oligonucleotide,” and “detection probe oligomer” are used interchangeably to refer to a nucleic acid oligomer that hybridizes specifically to a target sequence in a nucleic acid, or in an amplified nucleic acid, under conditions that promote hybridization to allow detection of the target sequence or amplified nucleic acid. Detection may either be direct (e.g., a probe hybridized directly to its target sequence) or indirect (e.g., a probe linked to its target via an intermediate molecular structure). Detection probes may be DNA, RNA, analogs thereof or combinations thereof (e.g., DNA/RNA chimerics) and they may be labeled or unlabeled. Detection probes may further include alternative backbone linkages such as, e.g., 2′-O-methyl linkages. A detection probe's “target sequence” generally refers to a smaller nucleic acid sequence region within a larger nucleic acid sequence that hybridizes specifically to at least a portion of a probe oligomer by standard base pairing. A detection probe may comprise target-specific sequences and other sequences that contribute to the three-dimensional conformation of the probe (see, e.g., U.S. Pat. Nos. 5,118,801; 5,312,728; 6,849,412; 6,835,542; 6,534,274; and 6,361,945; and US Patent Application Pub. No. 20060068417; each incorporated by reference herein).

By “stable” or “stable for detection” is meant that the temperature of a reaction mixture is at least 2° C. below the melting temperature of a nucleic acid duplex.

As used herein, a “label” refers to a moiety or compound joined directly or indirectly to a probe that is detected or leads to a detectable signal. Direct labeling can occur through bonds or interactions that link the label to the probe, including covalent bonds or non-covalent interactions, e.g., hydrogen bonds, hydrophobic and ionic interactions, or formation of chelates or coordination complexes. Indirect labeling can occur through use of a bridging moiety or “linker” such as a binding pair member, an antibody or additional oligomer, which is either directly or indirectly labeled, and which may amplify the detectable signal. Labels include any detectable moiety, such as a radionuclide, ligand (e.g., biotin, avidin), enzyme or enzyme substrate, reactive group, or chromophore (e.g., dye, particle, or bead that imparts detectable color), luminescent compound (e.g., bioluminescent, phosphorescent, or chemiluminescent labels), or fluorophore. Labels may be detectable in a homogeneous assay in which bound labeled probe in a mixture exhibits a detectable change different from that of an unbound labeled probe, e.g., instability or differential degradation properties. A “homogeneous detectable label” can be detected without physically removing bound from unbound forms of the label or labeled probe (see, e.g., U.S. Pat. Nos. 5,283,174; 5,656,207; and 5,658,737; each incorporated by reference herein). Labels include chemiluminescent compounds, e.g., acridinium ester (“AE”) compounds that include standard AE and derivatives (see, e.g., U.S. Pat. Nos. 5,656,207; 5,658,737; and 5,639,604; each incorporated by reference herein). Synthesis and methods of attaching labels to nucleic acids and detecting labels are well known. (See, e.g., Sambrook et al., Molecular Cloning, A Laboratory Manual, 2nd ed. (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1989), Chapter 10, incorporated by reference herein. See also U.S. Pat. Nos. 5,658,737; 5,656,207; 5,547,842; 5,283,174; and 4,581,333; each incorporated by reference herein). More than one label, and more than one type of label, may be present on a particular probe, or detection may use a mixture of probes in which each probe is labeled with a compound that produces a detectable signal (see, e.g., U.S. Pat. Nos. 6,180,340 and 6,350,579, each incorporated by reference herein).

“Capture probe,” “capture oligonucleotide,” and “capture probe oligomer” are used interchangeably to refer to a nucleic acid oligomer that specifically hybridizes to a target sequence in a target nucleic acid by standard base pairing and joins to a binding partner on an immobilized probe to capture the target nucleic acid to a support. One example of a capture oligomer includes two binding regions: a sequence-binding region (e.g., target-specific portion) and an immobilized probe-binding region, usually on the same oligomer, although the two regions may be present on two different oligomers joined together by one or more linkers. Another embodiment of a capture oligomer uses a target-sequence binding region that includes random or non-random poly-GU, poly-GT, or poly U sequences to bind non-specifically to a target nucleic acid and link it to an immobilized probe on a support.

As used herein, an “immobilized oligonucleotide,” “immobilized probe,” or “immobilized nucleic acid” refers to a nucleic acid binding partner that joins a capture oligomer to a support, directly or indirectly. An immobilized probe joined to a support facilitates separation of a capture probe bound target from unbound material in a sample. One embodiment of an immobilized probe is an oligomer joined to a support that facilitates separation of bound target sequence from unbound material in a sample. Supports may include known materials, such as matrices and particles free in solution, which may be made of nitrocellulose, nylon, glass, polyacrylate, mixed polymers, polystyrene, silane, polypropylene, metal, or other compositions, of which one embodiment is magnetically attractable particles. Supports may be monodisperse magnetic spheres (e.g., uniform size±5%), to which an immobilized probe is joined directly (via covalent linkage, chelation, or ionic interaction), or indirectly (via one or more linkers), where the linkage or interaction between the probe and support is stable during hybridization conditions.

By “complementary” is meant that the nucleotide sequences of similar regions of two single-stranded nucleic acids, or two different regions of the same single-stranded nucleic acid, have a nucleotide base composition that allow the single-stranded regions to hybridize together in a stable double-stranded hydrogen-bonded region under stringent hybridization or amplification conditions. Sequences that hybridize to each other may be completely complementary or partially complementary to the intended target sequence by standard nucleic acid base pairing (e.g., G:C, A:T, or A:U pairing). By “sufficiently complementary” is meant a contiguous sequence that is capable of hybridizing to another sequence by hydrogen bonding between a series of complementary bases, which may be complementary at each position in the sequence by standard base pairing or may contain one or more residues, including abasic residues, that are not complementary. Sufficiently complementary contiguous sequences typically are at least 80%, or at least 90%, complementary to a sequence to which an oligomer is intended to specifically hybridize. Sequences that are “sufficiently complementary” allow stable hybridization of a nucleic acid oligomer with its target sequence under appropriate hybridization conditions, even if the sequences are not completely complementary. When a contiguous sequence of nucleotides of one single-stranded region is able to form a series of “canonical” hydrogen-bonded base pairs with an analogous sequence of nucleotides of the other single-stranded region, such that A is paired with U or T and C is paired with G, the nucleotides sequences are “completely” complementary (see, e.g., Sambrook et al., Molecular Cloning, A Laboratory Manual, 2^(nd) ed. (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1989) at §§ 1.90-1.91, 7.37-7.57, 9.47-9.51 and 11.47-11.57, particularly §§ 9.50-9.51, 11.12-11.13, 11.45-11.47 and 11.55-11.57, incorporated by reference herein). It is understood that ranges for percent identity are inclusive of all whole and partial numbers (e.g., at least 90% includes 90, 91, 93.5, 97.687 and etc.).

By “preferentially hybridize” or “specifically hybridize” is meant that under stringent hybridization assay conditions, probes hybridize to their target sequences, or replicates thereof, to form stable probe:target hybrids, while at the same time formation of stable probe:non-target hybrids is minimized. Thus, a probe hybridizes to a target sequence or replicate thereof to a sufficiently greater extent than to a non-target sequence, to enable one having ordinary skill in the art to accurately detect or quantitate RNA replicates or complementary DNA (cDNA) of the target sequence formed during the amplification. Appropriate hybridization conditions are well-known in the art, may be predicted based on sequence composition, or can be determined by using routine testing methods (see, e.g., Sambrook et al., Molecular Cloning, A Laboratory Manual, 2^(nd) ed. (Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1989) at §§ 1.90-1.91, 7.37-7.57, 9.47-9.51 and 11.47-11.57, particularly §§ 9.50-9.51, 11.12-11.13, 11.45-11.47 and 11.55-11.57, incorporated by reference herein).

By “nucleic acid hybrid,” “hybrid,” or “duplex” is meant a nucleic acid structure containing a double-stranded, hydrogen-bonded region wherein each strand is complementary to the other, and wherein the region is sufficiently stable under stringent hybridization conditions to be detected by means including, but not limited to, chemiluminescent or fluorescent light detection, autoradiography, or gel electrophoresis. Such hybrids may comprise RNA:RNA, RNA:DNA, or DNA:DNA duplex molecules.

“Sample preparation” refers to any steps or method that treats a sample for subsequent amplification and/or detection of HEV nucleic acids present in the sample. Samples may be complex mixtures of components of which the target nucleic acid is a minority component. Sample preparation may include any known method of concentrating components, such as microbes or nucleic acids, from a larger sample volume, such as by filtration of airborne or waterborne particles from a larger volume sample or by isolation of microbes from a sample by using standard microbiology methods. Sample preparation may include physical disruption and/or chemical lysis of cellular components to release intracellular components into a substantially aqueous or organic phase and removal of debris, such as by using filtration, centrifugation or adsorption. Sample preparation may include use of a nucleic acid oligonucleotide that selectively or non-specifically capture a target nucleic acid and separate it from other sample components (e.g., as described in U.S. Pat. No. 6,110,678 and International Patent Application Pub. No. WO 2008/016988, each incorporated by reference herein).

“Separating” or “purifying” means that one or more components of a sample are removed or separated from other sample components. Sample components include target nucleic acids usually in a generally aqueous solution phase, which may also include cellular fragments, proteins, carbohydrates, lipids, and other nucleic acids. “Separating” or “purifying” does not connote any degree of purification. Typically, separating or purifying removes at least 70%, or at least 80%, or at least 95% of the target nucleic acid from other sample components.

As used herein, a “DNA-dependent DNA polymerase” is an enzyme that synthesizes a complementary DNA copy from a DNA template. Examples are DNA polymerase I from E. coli, bacteriophage T7 DNA polymerase, or DNA polymerases from bacteriophages T4, Phi-29, M2, or T5. DNA-dependent DNA polymerases may be the naturally occurring enzymes isolated from bacteria or bacteriophages or expressed recombinantly, or may be modified or “evolved” forms which have been engineered to possess certain desirable characteristics, e.g., thermostability, or the ability to recognize or synthesize a DNA strand from various modified templates. All known DNA-dependent DNA polymerases require a complementary primer to initiate synthesis. It is known that under suitable conditions a DNA-dependent DNA polymerase may synthesize a complementary DNA copy from an RNA template. RNA-dependent DNA polymerases typically also have DNA-dependent DNA polymerase activity.

As used herein, a “DNA-dependent RNA polymerase” or “transcriptase” is an enzyme that synthesizes multiple RNA copies from a double-stranded or partially double-stranded DNA molecule having a promoter sequence that is usually double-stranded. The RNA molecules (“transcripts”) are synthesized in the 5′-to-3′ direction beginning at a specific position just downstream of the promoter. Examples of transcriptases are the DNA-dependent RNA polymerase from E. coli and bacteriophages T7, T3, and SP6.

As used herein, an “RNA-dependent DNA polymerase” or “reverse transcriptase” (“RT”) is an enzyme that synthesizes a complementary DNA copy from an RNA template. All known reverse transcriptases also have the ability to make a complementary DNA copy from a DNA template; thus, they are both RNA- and DNA-dependent DNA polymerases. RTs may also have an RNAse H activity. A primer is required to initiate synthesis with both RNA and DNA templates.

As used herein, a “selective RNAse” is an enzyme that degrades the RNA portion of an RNA:DNA duplex but not single-stranded RNA, double-stranded RNA or DNA. An exemplary selective RNAse is RNAse H. Enzymes possessing the same or similar activity as RNAse H may also be used. Selective RNAses may be endonucleases or exonucleases. Most reverse transcriptase enzymes contain an RNAse H activity in addition to their polymerase activities. However, other sources of the RNAse H are available without an associated polymerase activity. The degradation may result in separation of RNA from a RNA:DNA complex. Alternatively, a selective RNAse may simply cut the RNA at various locations such that portions of the RNA melt off or permit enzymes to unwind portions of the RNA. Other enzymes that selectively degrade RNA target sequences or RNA products of the present invention will be readily apparent to those of ordinary skill in the art.

The term “specificity,” in the context of an amplification and/or detection system, is used herein to refer to the characteristic of the system which describes its ability to distinguish between target and non-target sequences dependent on sequence and assay conditions. In terms of nucleic acid amplification, specificity generally refers to the ratio of the number of specific amplicons produced to the number of side-products (e.g., the signal-to-noise ratio). In terms of detection, specificity generally refers to the ratio of signal produced from target nucleic acids to signal produced from non-target nucleic acids.

The term “sensitivity” is used herein to refer to the precision with which a nucleic acid amplification reaction can be detected or quantitated. The sensitivity of an amplification reaction is generally a measure of the smallest copy number of the target nucleic acid that can be reliably detected in the amplification system, and will depend, for example, on the detection assay being employed, and the specificity of the amplification reaction, e.g., the ratio of specific amplicons to side-products.

As used herein, the term “relative light unit” (“RLU”) is an arbitrary unit of measurement indicating the relative number of photons emitted by the sample at a given wavelength or band of wavelengths. RLU varies with the characteristics of the detection means used for the measurement.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A-1D illustrate a reference sequence for a hepatitis E virus (HEV) genome (SEQ ID NO:1 residues 1-1,850 (1A), residues 1,851-3,700 (1B), residues 3,701-5,550 (1C), and residues 5,551-7256 (1D)), complete sequence found at GenBank under accession number AB074918.2 and GI:21218075.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides compositions, kits, and methods for amplifying and detecting hepatitis C virus (HEV) nucleic acid from a sample. Preferably, the samples are biological samples. The compositions, kits, and methods provide oligonucleotide sequences that recognize target sequences of the HEV genome, including target sequences of HEV genotypes 1, 2, 3, and 4, or their complementary sequences. Such oligonucleotides may be used as amplification oligonucleotides, which may include primers, promoter primers, blocked oligonucleotides, and promoter provider oligonucleotides, whose functions have been described previously (see, e.g., U.S. Pat. Nos. 4,683,195; 4,683,202; 4,800,159; 5,399,491; 5,554,516; 5,824,518; and 7,374,885; each incorporated by reference herein). Other oligonucleotides may be used as probes for detecting amplified sequences of HEV, or for capture of HEV target nucleic acid.

The methods provide for the sensitive and specific detection of HEV nucleic acids. The methods include performing a nucleic acid amplification of an HEV target region and detecting the amplified product by, for example, specifically hybridizing the amplified product with a nucleic acid detection probe that provides a signal to indicate the presence of HEV in the sample. The amplification step includes contacting the sample with one or more amplification oligomers specific for a target sequence in an HEV target nucleic acid to produce an amplified product if HEV nucleic acid is present in the sample. Amplification synthesizes additional copies of the target sequence or its complement by using at least one nucleic acid polymerase and an amplification oligomer to produce the copies from a template strand (e.g., by extending the sequence from a primer using the template strand). One embodiment for detecting the amplified product uses a hybridizing step that includes contacting the amplified product with at least one probe specific for a sequence amplified by the selected amplification oligomers, e.g., a sequence contained in the target sequence flanked by a pair of selected amplification oligomers.

The detection step may be performed using any of a variety of known techniques to detect a signal specifically associated with the amplified target sequence, such as, e.g., by hybridizing the amplification product with a labeled detection probe and detecting a signal resulting from the labeled probe. The detection step may also provide additional information on the amplified sequence, such as, e.g., all or a portion of its nucleic acid base sequence. Detection may be performed after the amplification reaction is completed, or may be performed simultaneously with amplifying the target region, e.g., in real time. In one embodiment, the detection step allows homogeneous detection, e.g., detection of the hybridized probe without removal of unhybridized probe from the mixture (see, e.g., U.S. Pat. Nos. 5,639,604 and 5,283,174, each incorporated by reference herein).

In embodiments that detect the amplified product near or at the end of the amplification step, a linear detection probe may be used to provide a signal to indicate hybridization of the probe to the amplified product. One example of such detection uses a luminescentally labeled probe that hybridizes to target nucleic acid. Luminescent label is then hydrolyzed from non-hybridized probe. Detection is performed by chemiluminescence using a luminometer. (see, e.g., International Patent Application Pub. No. WO 89/002476, incorporated by reference herein). In other embodiments that use real-time detection, the detection probe may be a hairpin probe such as, for example, a molecular beacon, molecular torch, or hybridization switch probe that is labeled with a reporter moiety that is detected when the probe binds to amplified product. Such probes may comprise target-hybridizing sequences and non-target-hybridizing sequences. Various forms of such probes have been described previously (see, e.g., U.S. Pat. Nos. 5,118,801; 5,312,728; 5,925,517; 6,150,097; 6,849,412; 6,835,542; 6,534,274; and 6,361,945; and US Patent Application Pub. Nos. 20060068417A1 and 20060194240A1; each incorporated by reference herein).

Preferred compositions of the instant invention are configured to specifically hybridize to nucleic acid of all four major HEV genotypes (types 1, 2, 3, and 4) with minimal cross-reactivity to other, non-HEV nucleic acids suspected of being in a sample (e.g., other bloodborne pathogens). In certain variations, compositions of the invention further allow detection of sequences that are provisionally designated as belonging to HEV genotype 6. In some aspects, the compositions of the instant invention are configured to specifically hybridize to HEV nucleic acid with minimal cross-reactivity to one or more of hepatitis C virus (HCV), human immunodeficiency virus 1 (HIV 1), hepatitis B virus (HBV), and West Nile virus. In one aspect, the compositions of the instant invention are part of a multiplex system that further includes components and methods for detecting one of more of these organisms.

In certain aspects of the invention, a combination of at least two oligomers is provided for determining the presence or absence of HEV in a sample. Typically, the oligomer combination includes at least two amplification oligomers for amplifying a target region of an HEV target nucleic acid corresponding to the sequence of SEQ ID NO:1. In such embodiments, at least one amplification oligomer comprises a target-hybridizing sequence in the sense orientation (“sense THS”) and at least one amplification oligomer comprises a target-hybridizing sequence in the antisense orientation (“antisense THS”), where the sense THS and antisense THS are each configured to specifically hybridize to an HEV target sequence corresponding to a sequence contained within SEQ ID NO:1 and where the target-hybridizing sequences are selected such that the HEV sequence targeted by antisense THS is situated downstream of the HEV sequence targeted by the sense THS (i.e., the at least two amplification oligomers are situated such that they flank the target region to be amplified). In some variations, an oligomer combination includes (a)(i) an oligomer comprising a target-hybridizing sequence that is from about 14 to about 23 contiguous nucleotides and substantially corresponding to, or identical to, a sequence that is contained in the sequence of SEQ ID NO:63 and that includes at least the sequence of SEQ ID NO:26, or the complement thereof or an RNA equivalent or DNA/RNA chimeric thereof. In some variations, at least one amplification oligomer is (a)(ii) an oligomer comprising a target-hybridizing sequence that is from about 14 to about 23 contiguous nucleotides and substantially corresponding to, or identical to, a sequence that is contained in the sequence of SEQ ID NO:16, or the complement thereof or an RNA equivalent or DNA/RNA chimeric thereof. In some variations, at least one amplification oligomer is (b) an oligomer comprising a target-hybridizing sequence that is from about 17 to about 28 contiguous nucleotides and substantially corresponding to, or identical to, a sequence that is contained in the sequence of SEQ ID NO:47 and that includes at least the sequence of SEQ ID NO:25, or the complement thereof or an RNA equivalent or DNA/RNA chimeric thereof. In more specific embodiments, the at least one amplification oligomer for detecting HEV includes providing the at least one amplification oligomer in an amplification reaction mixture. In one aspect, each of the at least one amplification oligomers is provided in the amplification reaction mixture at a concentration from about 4 pmoles/reaction to about 12 pmoles/reaction (inclusive of all whole and partial numbers of the range (e.g., 4, 4.5, 5, 6.75, 8, 10, 10.25, 11, 12.01)). In some variations, the at least one amplification oligomer is a plurality of amplification oligomers, each of which are provided in the amplification reaction mixture at equal concentrations. In some variations, the at least one amplification oligomer is a plurality of amplification oligomers, each of which are not necessarily provided in the amplification reaction mixture at equal concentrations (e.g., one amplification oligomer is provided at twice the concentration of another amplification oligomer in an amplification reaction mixture).

In variations comprising an amplification oligomer as in (a)(i), (a)(ii), or (b) above, the oligomer combination includes at least one an amplification oligomer comprising an HEV-specific target-hybridizing sequence of the opposite polarity (sense vs. antisense or vice versa) as the target-hybridizing sequence of the oligomer of (a)(i), (a)(ii), or (b), such that at least two amplification oligomers flank a target region to be amplified. In some such embodiments, an oligomer combination includes at least one oligomer as in (a)(i) and/or (a)(ii), and at least one oligomer as in (b), such that the oligomer(s) of (a)(i) and/or (a)(ii) and the oligomer(s) of (b) flank the target region to be amplified. In some such variations, the oligomer combination includes at least one amplification oligomer as in (a)(i), at least one amplification oligomer as in (a)(ii), and at least one amplification oligomer (e.g., two amplification oligomers) as in (b). In other such variations, the oligomer combination includes at least two amplification oligomers as in (b) and at least one amplification oligomer as in either of (a)(i) or (a)(ii).

In more specific embodiments of the present invention, an oligomer combination for determining the presence or absence of HEV in a sample includes (1) at least one amplification oligomer comprising an HEV target-hybridizing region substantially corresponding to at least one sense oligomer sequence depicted in Table 1 below, and (2) at least one amplification oligomer comprising an HEV target hybridizing region substantially corresponding to at least one antisense oligomer sequence depicted in Table 1. In some such embodiments, the oligomer combination includes at least two amplification oligomers of (1) above and/or at least two amplification oligomers of (2) above. In particular variations, the sense and/or antisense target-hybridizing sequence(s) of an amplification oligomer combination comprises or consists of the sense and/or antisense sequence(s) selected from Table 1.

TABLE 1 Exemplary Sense and Antisense  Amplification Oligomer Target-hybridizing Sequences for Amplification of HEV Target Regions SEQ ID Sense/ NO: Sequence Antisense¹ 21 AGGGGTTGGTTGGATGAATATAG Antisense 22 AGGGGTTGGTTGGATGAATATAGG Antisense 23 AGGGGTTGGTTGGATGAATATAGGG Antisense 24 AGGGGTTGGTTGGATGAATATAGGGGA Antisense  28² NCGGCGGTGGTTTCTNN Sense 29 CCGGCGGTGGTTTCT Sense 30 CCGGCGGTGGTTTCTG Sense 31 CCGGCGGTGGTTTCTGG Sense 32 CGGCGGTGGTTTCTGG Sense 33 CTATGCTGCCCGCGCC Sense 34 CTATGCTGCCCGCGCCA Sense 35 CTATGCTGCCCGCGCCAC Sense 45 GGCGAAGGGGTTGGTTGGATGAA Antisense 46 GGGCGAAGGGGTTGGTTGGATGAA Antisense 47 GGTTGGTTGGATGAATATAG Antisense 49 GGTTGGTTGGATGAATATAGG Antisense 50 GGTTGGTTGGATGAATATAGGG Antisense 51 GGTTGGTTGGATGAATATAGGGGA Antisense 52 GGTTTCTGGGGTGAC Sense 53 GTGGTTTCTGGGGTGA Sense 54 GTGGTTTCTGGGGTGAC Sense 56 SGGCGAAGGGGTTGGTTGGATGAA Antisense 61 TGCCTATGCTGCCCGCGCCAC Sense 62 TGCTGCCCGCGCCA Sense 64 TGCTGCCCGCGCCAC Sense 65 TGCTGCCCGCGCCACC Sense 66 TGCTGCCCGCGCCACCG Sense ¹The Sense/Antisense designation of these sequences is for exemplary purposes only. Such designation does not necessarily limit a sequence to the accompanying designation. ²N at position 1 is C or is absent, N at position 16 is G or is absent, and N at position 17 is G or is absent. In some embodiments, if N at position 16 is G and N at position 17 is absent, then N at position 1 is C.

In certain embodiments, an amplification oligomer as described herein is a promoter primer or promoter provider further comprising a promoter sequence located 5′ to the target-hybridizing sequence and which is non-complementary to the HEV target nucleic acid. For example, in some embodiments of an oligomer combination as described herein for amplification of an HEV target region, an amplification oligomer as described above in (b) (e.g., an amplification oligomer comprising or consisting of an antisense target-hybridizing sequence as shown in Table 1) is a promoter primer further comprising a 5′ promoter sequence. In particular embodiments, the promoter sequence is a T7 RNA polymerase promoter sequence such as, for example, a T7 promoter sequence having the sequence shown in SEQ ID NO:73. In specific variations, the amplification oligomer of (b) is a promoter primer having the sequence shown in SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, SEQ ID NO:12, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:17, SEQ ID NO:18, SEQ ID NO:18, or SEQ ID NO:20.

In some embodiments, an oligomer combination as described herein further includes a terminating oligonucleotide (also referred to herein as a “blocker” oligonucleotide) comprising comprises a base sequence substantially complementary (e.g., fully complementary) to a sequence contained within the target nucleic acid in the vicinity of the 5′-end of the target region. A terminating oligomer is typically used in combination with, e.g., a promoter provider amplification oligomer, such as, for example, in certain embodiments described herein relating to transcription-mediated amplification (TMA).

In some embodiments, an oligomer combination as described herein further comprises at least one capture probe oligomer comprising a target-hybridizing sequence substantially corresponding to a sequence contained in the complement of SEQ ID NO:1, wherein the target-hybridizing sequence is covalently attached to a sequence or moiety that binds to an immobilized probe. In specific variations, the target-hybridizing sequence comprises or consists of a sequence substantially corresponding to, or identical to, a sequence selected from SEQ ID NO:2, SEQ ID NO:4, SEQ ID NO:6, SEQ ID NO:42, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In more specific variations, the capture probe oligomer has a sequence selected from SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43. An oligomer combination may include at least two (e.g., three) capture probe oligomers as above. In more specific embodiments, the at least one capture probe oligomer includes providing the at least one capture probe oligomer in a target capture reaction mixture. In one aspect, each of the at least one capture probe oligomers is provided in the target capture reaction mixture at a concentration from about 3 pmoles/reaction to about 6 pmoles/reaction (inclusive of all whole and partial numbers of the range (e.g., 4, 4.75, 5.12, 5.98, 6)). When a plurality of at least one capture probe oligomer is used in a target capture reaction the concentration of each capture probe oligomer may be equal to the concentration of the others or there may be varied concentrations, as described herein.

In certain variations, an oligomer combination as described herein further comprises at least one detection probe oligomer configured to specifically hybridize to an HEV target sequence that is amplifiable using the first and second amplification oligomers (e.g., an HEV target sequence that is flanked by the target-hybridizing sequences of the first and second amplification oligomers). In particular embodiments, the detection probe oligomer includes a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof. Particularly suitable detection probe oligomers include, for example, oligomers comprising a target-hybridizing sequence substantially corresponding to, or identical to, a sequence selected from SEQ ID NO:37, SEQ ID NO:55, SEQ ID NO:67, and SEQ ID NO:71, including complements, DNA equivalents, and DNA/RNA chimerics thereof. A detection probe oligomer may contain a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone. In some variations, an oligomer combination includes at least two detection probe oligomers. In more specific embodiments, the at least one detection probe oligomer includes providing the at least one detection probe oligomer in an amplicon detection reaction mixture. In one aspect, each of the at least one detection probe oligomers is provided in the detection reaction mixture at about 2.0 E+06 RLU/reaction to about 6.0 E+06 RLU/reaction (inclusive of all whole and partial numbers of the range (e.g., 2.0 E+06, 2.138 E+06, 3.385 E+06 RLU)). When a plurality of at least one detection probe oligomer is used in a detection reaction the concentration of each detection oligomer may be equal to the concentration of the others or there may be varied concentrations, as described herein.

Typically, a detection probe oligomer in accordance with the present invention further includes a label. Particularly suitable labels include compounds that emit a detectable light signal, e.g., fluorophores or luminescent (e.g., chemiluminescent) compounds that can be detected in a homogeneous mixture. More than one label, and more than one type of label, may be present on a particular probe, or detection may rely on using a mixture of probes in which each probe is labeled with a compound that produces a detectable signal (see, e.g., U.S. Pat. Nos. 6,180,340 and 6,350,579, each incorporated by reference herein). Labels may be attached to a probe by various means including covalent linkages, chelation, and ionic interactions, but preferably the label is covalently attached. For example, in some embodiments, a detection probe has an attached chemiluminescent label such as, e.g., an acridinium ester (AE) compound (see, e.g., U.S. Pat. Nos. 5,185,439; 5,639,604; 5,585,481; and 5,656,744; each incorporated by reference herein), which in typical variations is attached to the probe by a non-nucleotide linker (see, e.g., U.S. Pat. Nos. 5,585,481; 5,656,744; and 5,639,604, particularly at column 10, line 6 to column 11, line 3, and Example 8; each incorporated by reference herein). In other embodiments, a detection probe comprises both a fluorescent label and a quencher, a combination that is particularly useful in fluorescence resonance energy transfer (FRET) assays. Specific variations of such detection probes include, e.g., a TaqMan detection probe (Roche Molecular Diagnostics) and a “molecular beacon” (see, e.g., Tyagi et al., Nature Biotechnol. 16:49-53, 1998; U.S. Pat. Nos. 5,118,801 and 5,312,728; each incorporated by reference herein).

A detection probe oligomer in accordance with the present invention may further include a non-target-hybridizing sequence. Specific embodiments of such detection probes include, for example, probes that form conformations held by intramolecular hybridization, such as conformations generally referred to as hairpins. Particularly suitable hairpin probes include a “molecular torch” (see, e.g., U.S. Pat. Nos. 6,849,412; 6,835,542; 6,534,274; and 6,361,945, each incorporated by reference herein) and a “molecular beacon” (see, e.g., Tyagi et al., supra; U.S. Pat. No. 5,118,801 and U.S. Pat. No. 5,312,728, supra). Methods for using such hairpin probes are well-known in the art.

In yet other embodiments, a detection probe is a linear oligomers that does not substantially form conformations held by intramolecular bonds. In specific variations, a linear detection probe oligomer includes a chemiluminescent compound as the label, preferably an acridinium ester (AE) compound.

In yet other variations, an oligomer combination for detection of an HEV nucleic acid further comprises a probe protection oligomer substantially complementary to a detection probe oligomer. A probe protection oligomer may be hybridized to a substantially complementary, labeled detection probe oligomer (e.g., a probe labeled with a chemiluminescent compound) to stabilize the labeled probe during storage. In specific embodiments, a probe protection oligomer has a sequence substantially corresponding to, or identical to, a sequence selected from SEQ ID NO:36 and SEQ ID NO:40.

Also provided by the present invention are detection probe oligomers, capture probe oligomers, and probe protection oligomers as described herein.

In another aspect, the present invention provides methods for determining the presence or absence of HEV in a sample using an oligomer combination as described herein. Such a method generally includes (1) contacting the sample with at least two oligomers for amplifying an HEV nucleic acid target region corresponding to an HEV target nucleic acid, where the oligomers include at least two amplification oligomers as described above; (2) performing an in vitro nucleic acid amplification reaction, where any HEV target nucleic acid present in the sample is used as a template for generating an amplification product; and (3) detecting the presence or absence of the amplification product, thereby determining the presence or absence of HEV in the sample. A detection method in accordance with the present invention typically further includes the step of obtaining the sample to be contacted with the at least two oligomers. In certain embodiments, “obtaining” a sample to be used in steps (1)-(3) includes, for example, receiving the sample at a testing facility or other location where one or more steps of the method are performed, and/or retrieving the sample from a location (e.g., from storage or other depository) within a facility where one or more steps of the method are performed.

In certain embodiments, the method further includes purifying the HEV target nucleic acid from other components in the sample before the contacting step. Such purification may include methods of separating and/or concentrating organisms contained in a sample from other sample components. In particular embodiments, purifying the target nucleic acid includes capturing the target nucleic acid to specifically or non-specifically separate the target nucleic acid from other sample components. Non-specific target capture methods may involve selective precipitation of nucleic acids from a substantially aqueous mixture, adherence of nucleic acids to a support that is washed to remove other sample components, or other means of physically separating nucleic acids from a mixture that contains HEV nucleic acid and other sample components.

In some embodiments, an HEV target nucleic is selectively separated from other sample components by specifically hybridizing the HEV target nucleic acid to a capture probe oligomer. The capture probe oligomer comprises a target-hybridizing sequence configured to specifically hybridize to an HEV target sequence so as to form a target-sequence:capture-probe complex that is separated from sample components. Suitable capture probe target-hybridizing sequences include sequences substantially corresponding to, or identical to, a sequence selected from SEQ ID NO:2, SEQ ID NO:4, SEQ ID NO:6, and SEQ ID NO:42, including complements, DNA equivalents, and DNA/RNA chimerics thereof. In a preferred variation, the specific target capture binds the HEV target:capture-probe complex to an immobilized probe to form a target:capture-probe:immobilized-probe complex that is separated from the sample and, optionally, washed to remove non-target sample components (see, e.g., U.S. Pat. Nos. 6,110,678; 6,280,952; and 6,534,273; each incorporated by reference herein). In such variations, the capture probe oligomer further comprises a sequence or moiety that binds attaches the capture probe, with its bound target sequence, to an immobilized probe attached to a solid support, thereby permitting the hybridized target nucleic acid to be separated from other sample components.

In more specific embodiments, the capture probe oligomer includes a tail portion (e.g., a 3′ tail) that is not complementary to the HEV target sequence but that specifically hybridizes to a sequence on the immobilized probe, thereby serving as the moiety allowing the target nucleic acid to be separated from other sample components, such as previously described in, e.g., U.S. Pat. No. 6,110,678, incorporated herein by reference. Any sequence may be used in a tail region, which is generally about 5 to 50 nt long, and preferred embodiments include a substantially homopolymeric tail of about 10 to 40 nt (e.g., A₁₀ to A₄₀), more preferably about 14 to 33 nt (e.g., A₁₄ to A₃₀ or T₃A₁₄ to T₃A₃₀), that bind to a complementary immobilized sequence (e.g., poly-T) attached to a solid support, e.g., a matrix or particle. For example, in specific embodiments of a capture probe comprising a 3′ tail, the capture probe has a sequence selected from SEQ ID NO:3, SEQ ID NO:7, and SEQ ID NO:43.

Target capture typically occurs in a solution phase mixture that contains one or more capture probe oligomers that hybridize specifically to the HEV target sequence under hybridizing conditions, usually at a temperature higher than the T_(m) of the tail-sequence:immobilized-probe-sequence duplex. For embodiments comprising a capture probe tail, the HEV-target:capture-probe complex is captured by adjusting the hybridization conditions so that the capture probe tail hybridizes to the immobilized probe, and the entire complex on the solid support is then separated from other sample components. The support with the attached immobilized-probe:capture-probe:HEV-target-sequence may be washed one or more times to further remove other sample components. Preferred embodiments use a particulate solid support, such as paramagnetic beads, so that particles with the attached HEV-target:capture-probe:mobilized-probe complex may be suspended in a washing solution and retrieved from the washing solution, preferably by using magnetic attraction. To limit the number of handling steps, the HEV target nucleic acid may be amplified by simply mixing the HEV target sequence in the complex on the support with amplification oligomers and proceeding with amplification steps.

Amplifying an HEV target sequence utilizes an in vitro amplification reaction using at least two amplification oligomers that flank a target region to be amplified. In particular embodiments, the target region to be amplified substantially corresponds to SEQ ID NO:1 from about nucleotide position 5230 to about nucleotide position 5379. Particularly suitable amplification oligomer combinations for amplification of these target regions are described herein (see, e.g., paragraphs [5]-[18] and [94]-[97], supra). Suitable amplification methods include, for example, replicase-mediated amplification, polymerase chain reaction (PCR), ligase chain reaction (LCR), strand-displacement amplification (SDA), and transcription-mediated or transcription-associated amplification (TMA). Such amplification methods are well-known in the art (see, e.g., paragraphs [66] and [67], supra) and are readily used in accordance with the methods of the present invention.

For example, some amplification methods that use TMA amplification include the following steps. Briefly, the target nucleic acid that contains the sequence to be amplified is provided as single-stranded nucleic acid (e.g., ssRNA or ssDNA). Those skilled in the art will appreciate that conventional melting of double stranded nucleic acid (e.g., dsDNA) may be used to provide single-stranded target nucleic acids. A promoter primer binds specifically to the target nucleic acid at its target sequence and a reverse transcriptase (RT) extends the 3′ end of the promoter primer using the target strand as a template to create a cDNA copy of the target sequence strand, resulting in an RNA:DNA duplex. An RNase digests the RNA strand of the RNA:DNA duplex and a second primer binds specifically to its target sequence, which is located on the cDNA strand downstream from the promoter primer end. RT synthesizes a new DNA strand by extending the 3′ end of the second primer using the first cDNA template to create a dsDNA that contains a functional promoter sequence. An RNA polymerase specific for the promoter sequence then initiates transcription to produce RNA transcripts that are about 100 to 1000 amplified copies (“amplicons”) of the initial target strand in the reaction. Amplification continues when the second primer binds specifically to its target sequence in each of the amplicons and RT creates a DNA copy from the amplicon RNA template to produce an RNA:DNA duplex. RNase in the reaction mixture digests the amplicon RNA from the RNA:DNA duplex and the promoter primer binds specifically to its complementary sequence in the newly synthesized DNA. RT extends the 3′ end of the promoter primer to create a dsDNA that contains a functional promoter to which the RNA polymerase binds to transcribe additional amplicons that are complementary to the target strand. The autocatalytic cycles of making more amplicon copies repeat during the course of the reaction resulting in about a billion-fold amplification of the target nucleic acid present in the sample. The amplified products may be detected in real-time during amplification, or at the end of the amplification reaction by using a probe that binds specifically to a target sequence contained in the amplified products. Detection of a signal resulting from the bound probes indicates the presence of the target nucleic acid in the sample.

In some embodiments, the method utilizes a “reverse” TMA reaction. In such variations, the initial or “forward” amplification oligomer is a priming oligonucleotide that hybridizes to the target nucleic acid in the vicinity of the 3′-end of the target region. A reverse transcriptase (RT) synthesizes a cDNA strand by extending the 3′-end of the primer using the target nucleic acid as a template. The second or “reverse” amplification oligomer is a promoter primer or promoter provider having a target-hybridizing sequence configured to hybridize to a target-sequence contained within the synthesized cDNA strand. Where the second amplification oligomer is a promoter primer, RT extends the 3′ end of the promoter primer using the cDNA strand as a template to create a second, cDNA copy of the target sequence strand, thereby creating a dsDNA that contains a functional promoter sequence. Amplification then continues essentially as described above in paragraph [112] for initiation of transcription from the promoter sequence utilizing an RNA polymerase. Alternatively, where the second amplification oligomer is a promoter provider, a terminating oligonucleotide, which hybridizes to a target sequence that is in the vicinity to the 5′-end of the target region, is typically utilized to terminate extension of the priming oligomer at the 3′-end of the terminating oligonucleotide, thereby providing a defined 3′-end for the initial cDNA strand synthesized by extension from the priming oligomer. The target-hybridizing sequence of the promoter provider then hybridizes to the defined 3′-end of the initial cDNA strand, and the 3′-end of the cDNA strand is extended to add sequence complementary to the promoter sequence of the promoter provider, resulting in the formation of a double-stranded promoter sequence. The initial cDNA strand is then used a template to transcribe multiple RNA transcripts complementary to the initial cDNA strand, not including the promoter portion, using an RNA polymerase that recognizes the double-stranded promoter and initiates transcription therefrom. Each of these RNA transcripts is then available to serve as a template for further amplification from the first priming amplification oligomer.

Detection of the amplified products may be accomplished by a variety of methods. The nucleic acids may be associated with a surface that results in a physical change, such as a detectable electrical change. Amplified nucleic acids may be detected by concentrating them in or on a matrix and detecting the nucleic acids or dyes associated with them (e.g., an intercalating agent such as ethidium bromide or cyber green), or detecting an increase in dye associated with nucleic acid in solution phase. Other methods of detection may use nucleic acid detection probes that are configured to specifically hybridize to a sequence in the amplified product and detecting the presence of the probe:product complex, or by using a complex of probes that may amplify the detectable signal associated with the amplified products (e.g., U.S. Pat. Nos. 5,424,413; 5,451,503; and 5,849,481; each incorporated by reference herein). Directly or indirectly labeled probes that specifically associate with the amplified product provide a detectable signal that indicates the presence of the target nucleic acid in the sample. In particular, the amplified product will contain a target sequence in or complementary to a sequence in the HEV genomic RNA, and a probe will bind directly or indirectly to a sequence contained in the amplified product to indicate the presence of HEV nucleic acid in the tested sample.

Preferred embodiments of detection probes that hybridize to the complementary amplified sequences may be DNA or RNA oligomers, or oligomers that contain a combination of DNA and RNA nucleotides, or oligomers synthesized with a modified backbone, e.g., an oligomer that includes one or more 2′-methoxy substituted ribonucleotides. Probes used for detection of the amplified HEV sequences may be unlabeled and detected indirectly (e.g., by binding of another binding partner to a moiety on the probe) or may be labeled with a variety of detectable labels. Particular embodiments of detection probes suitable for use in accordance with methods of the present invention are further described herein (see, e.g., paragraphs [19], [20], and [38]-[40], supra). In some preferred embodiments of the method for detecting HEV sequences, such as in certain embodiments using transcription-mediated amplification (TMA), the detection probe is a linear chemiluminescently labeled probe, more preferably, a linear acridinium ester (AE) labeled probe.

Oligomers that are not intended to be extended by a nucleic acid polymerase preferably include a blocker group that replaces the 3′ OH to prevent enzyme-mediated extension of the oligomer in an amplification reaction. For example, blocked amplification oligomers and/or detection probes present during amplification preferably do not have a functional 3′ OH and instead include one or more blocking groups located at or near the 3′ end. A blocking group near the 3′ end is preferably within five residues of the 3′ end and is sufficiently large to limit binding of a polymerase to the oligomer, and other preferred embodiments contain a blocking group covalently attached to the 3′ terminus. Many different chemical groups may be used to block the 3′ end, e.g., alkyl groups, non-nucleotide linkers, alkane-diol dideoxynucleotide residues, and cordycepin.

Examples of oligomers that are typically blocked at the 3′ end—and which are particularly suitable in certain embodiments using transcription-mediated amplification—are promoter providers. As described previously, a promoter provider comprises first target-hybridizing region and, situated 5′ to the first region, a second region comprising a promoter sequence for an RNA polymerase. The promoter provider oligonucleotide is modified to prevent the initiation of DNA synthesis from its 3′-terminus, such as by including a blocker group as discussed above.

Another example of typically 3′-blocked oligomers are terminating (“blocker”) oligonucleotides, previously described above. A terminating oligomer is typically used in combination with, e.g., a promoter provider amplification oligomer, such as, for example, in certain embodiments described herein relating to transcription-mediated amplification (TMA). A terminating oligomer hybridizes to a sequence contained within the target nucleic acid in the vicinity of the 5′-end of the target region so as to “terminate” primer extension of a nascent nucleic acid that includes a priming oligonucleotide, thereby providing a defined 3′-end for the nascent nucleic acid strand.

Other embodiments using transcription-mediated amplification utilize a promoter primer, which comprises a first target-hybridizing region and, situated 5′ to the first region, a second region comprising a promoter sequence for an RNA polymerase, but which is not modified to prevent the initiation of DNA synthesis from its 3′-terminus. In some embodiments, a promoter primer for use in accordance with the detection method comprises a target-hybridizing sequence having a sequence substantially corresponding to, or identical to, a sequence selected from SEQ ID NO:21, SEQ ID NO:22, SEQ ID NO:23, SEQ ID NO:24, SEQ ID NO:45, SEQ ID NO:46, SEQ ID NO:48, SEQ ID NO:49, SEQ ID NO:50, SEQ ID NO:51, SEQ ID NO:56. In certain variations of a promoter primer comprising a target-hybridizing sequence as in SEQ ID NO:56, the nucleobase at position 1 of SEQ ID NO:56 is guanine (G); in other variations, the promoter primer has degeneracy at position 1 of SEQ ID NO:56, such this position is occupied by either cytosine (C) or guanine (G) within a population of oligomers comprising SEQ ID NO:56. In more specific variations, a promoter primer for use in accordance with the detection method has the sequence shown in SEQ ID NO:7, SEQ ID NO:8, SEQ ID NO:9, SEQ ID NO:10, SEQ ID NO:11, SEQ ID NO:12, SEQ ID NO:14, SEQ ID NO:15, SEQ ID NO:17, SEQ ID NO:18, SEQ ID NO:19, or SEQ ID NO:20.

Assays for detection of the HEV nucleic acid may optionally include a non-HEV internal control (IC) nucleic acid that is amplified and detected in the same assay reaction mixtures by using amplification and detection oligomers specific for the IC sequence. IC nucleic acid sequences can be RNA template sequences (e.g., and in vitro transcript), synthetic nucleic acid sequences that are spiked into a sample or the IC nucleic acid sequences may be a cellular component. IC nucleic acid sequences that are cellular components can be from exogenous cellular sources or endogenous cellular sources relative to the specimen. In these instances, an internal control nucleic acid is co-amplified with the HEV nucleic acid in the amplification reaction mixtures. The internal control amplification product and the HEV target sequence amplification product can be detected independently. Two different internal control systems were employed in the procedures described below.

A first arrangement for internal control systems was useful for monitoring the integrity of amplification and detection reactions that employ paired sets of primers and an oligonucleotide probe that hybridized amplification product at a position between the primer binding sites, or the complements thereof. This arrangement was used in the assays described under Examples below. In a simple application, the internal control template nucleic acid can be distinguished from the analyte template nucleic acid at the sequence of bases serving as the probe binding site. These bases may be scrambled, replaced by an unrelated base sequence, or simply contain a sufficient number of point mutations to result in differential probe binding. In this way, nucleic acid products resulting from amplification of analyte nucleic acid can be detected by an analyte-specific probe, and not by an internal control-specific probe. Likewise, amplicons resulting from amplification of internal control nucleic acid can be detected by an internal control-specific probe, and not by an analyte-specific probe. This configuration allows that both analyte and internal control nucleic acid templates may be amplified using identical primers, or primer sets.

In certain embodiments, amplification and detection of a signal from the amplified IC sequence demonstrates that the assay reagents, conditions, and performance of assay steps were properly used in the assay if no signal is obtained for the intended target HEV nucleic acid (e.g., samples that test negative for HEV). An IC may also be used as an internal calibrator for the assay when a quantitative result is desired, i.e., the signal obtained from the IC amplification and detection is used to set a parameter used in an algorithm for quantitating the amount of HEV nucleic acid in a sample based on the signal obtained for an amplified HEV target sequence. ICs are also useful for monitoring the integrity of one or more steps in an assay. A preferred embodiment of a synthetic IC nucleic acid sequence is a randomized sequence that has been derived from a naturally occurring source (e.g., an HIV sequence that has been rearranged in a random manner). Another preferred IC nucleic acid sequence may be an RNA transcript isolated from a naturally occurring source or synthesized in vitro, such as by making transcripts from a cloned randomized sequence such that the number of copies of IC included in an assay may be accurately determined. The primers and probe for the IC target sequence are configured and synthesized by using any well-known method provided that the primers and probe function for amplification of the IC target sequence and detection of the amplified IC sequence using substantially the same assay conditions used to amplify and detect the HEV target sequence. In preferred embodiments that include a target capture-based purification step, it is preferred that a target capture probe specific for the IC target be included in the assay in the target capture step so that the IC is treated in the assay in a manner analogous to that for the intended HEV analyte in all of the assay steps.

In certain embodiments of a method for determining the presence or absence of HEV in sample, the method further includes the use of a probe protection oligomer as described herein to adjust assay sensitivity.

Also provided by the subject invention is a reaction mixture for determining the presence or absence of an HEV target nucleic acid in a sample. A reaction mixture in accordance with the present invention at least comprises one or more of the following: an oligomer combination as described herein for amplification of an HEV target nucleic acid; a capture probe oligomer as described herein for purifying the HEV target nucleic acid; a detection probe oligomer as described herein for determining the presence or absence of an HEV amplification product; and a probe protection oligomer as described herein for detuning sensitivity of an assay for detecting the HEV target nucleic acid. The reaction mixture may further include a number of optional components such as, for example, arrays of capture probe nucleic acids. For an amplification reaction mixture, the reaction mixture will typically include other reagents suitable for performing in vitro amplification such as, e.g., buffers, salt solutions, appropriate nucleotide triphosphates (e.g., dATP, dCTP, dGTP, dTTP, ATP, CTP, GTP and UTP), and/or enzymes (e.g., reverse transcriptase, and/or RNA polymerase), and will typically include test sample components, in which an HEV target nucleic acid may or may not be present. In addition, for a reaction mixture that includes a detection probe together with an amplification oligomer combination, selection of amplification oligomers and detection probe oligomers for a reaction mixture are linked by a common target region (i.e., the reaction mixture will include a probe that binds to a sequence amplifiable by an amplification oligomer combination of the reaction mixture).

Also provided by the subject invention are kits for practicing the methods as described herein. A kit in accordance with the present invention at least comprises one or more of the following: an amplification oligomer combination as described herein for amplification of an HEV target nucleic acid; a capture probe oligomer as described herein for purifying the HEV target nucleic acid; a detection probe oligomer as described herein for determining the presence or absence of an HEV amplification product; and a probe protection oligomer as described herein for detuning sensitivity of an assay for detecting the HEV target nucleic acid. The kits may further include a number of optional components such as, for example, arrays of capture probe nucleic acids. Other reagents that may be present in the kits include reagents suitable for performing in vitro amplification such as, e.g., buffers, salt solutions, appropriate nucleotide triphosphates (e.g., dATP, dCTP, dGTP, dTTP, ATP, CTP, GTP and UTP), and/or enzymes (e.g., reverse transcriptase, and/or RNA polymerase). Oligomers as described herein may be packaged in a variety of different embodiments, and those skilled in the art will appreciate that the invention embraces many different kit configurations. For example, a kit may include amplification oligomers for only one target region of an HEV genome, or it may include amplification oligomers for multiple HEV target regions. In addition, for a kit that includes a detection probe together with an amplification oligomer combination, selection of amplification oligomers and detection probe oligomers for a kit are linked by a common target region (i.e., the kit will include a probe that binds to a sequence amplifiable by an amplification oligomer combination of the kit). In certain embodiments, the kit further includes a set of instructions for practicing methods in accordance with the present invention, where the instructions may be associated with a package insert and/or the packaging of the kit or the components thereof.

The invention is further illustrated by the following non-limiting examples.

Example 1

This example describes amplification reactions using various primer sets for amplification of an HEV target region. Table 2 below lists all the amplification oligomers used in this assay.

TABLE 2 HEV Amplification Oligomers Class SEQ ID NO: nonT7 50 53 52 31 30 29 66 65 64 62 35 34 33 61 T7 17 18 19 20 9 10 11 12 15 14

Each possible combination of the T7 and nonT7 primers listed in Table 2 were tested. Primers were tested in a transcription-mediated amplification (TMA) reaction using an HEV in vitro transcript (IVT) at 15 and 0 copies/reaction. Transcription mediated amplification (TMA) reactions were carried out essentially as described by Kacian et al., in U.S. Pat. No. 5,399,491, the disclosure of this U.S. patent having been incorporated by reference hereinabove. Amplification reactions were conducted for various primer combinations using about 5 to 10 pmoles per reaction of each T7 primer and nonT7 primer. Amplification products were detected by hybridization protection assay (HPA) using an AE-labeled detection probe (having the nucleobase sequence shown in SEQ ID NO:67). Signal-to-noise ratios were calculated for each primer pair by dividing the RLU value observed at 15 copies of HEV IVT by the background RLU value observed at 0 copies of HEV IVT. The results are shown in Table 3 below.

TABLE 3 Signal-to-Noise Ratio of HEV T7/nonT7 Primer Pairs nonT7† 66 65 64 62 61 53 52 50 35 34 33 31 30 29 T7† 9 898.1 896.5 487 802.2 599.2 1.6 0.9 75 916.5 361.1 956.7 910 943.3 1010 10 1183.7 974.4 1078.3 1023.6 1097.1 5.2 2.9 289.1 994.3 971.8 282.3 1102.3 22.9 907 11 1252.1 1286.2 933.6 1023 709.5 12 4 314.6 1013.3 1139.3 1044.1 308 14.9 906.3 12 944.6 980.1 1007.9 1061.4 595.1 675.9 26 1026.2 966.6 942.8 927.6 945.7 953.4 854.5 14 3204.9 3120.2 2855.6 2919.1 2576.4 1001.5 1.6 891.9 2282.4 2574.2 2809.9 1800.1 227.1 679.9 15 1545.2 2074.8 2578.8 1361.2 2639.7 252.3 2.4 433.5 1253.3 2690.7 2161.8 313.7 1782.1 1058.6 17 273.8 429.2 498 220.6 281.2 0.7 3.3 8.5 135.4 222.5 65.9 201.8 1.7 233.9 18 914 445.7 896.2 906.3 780 0.9 0.9 1.1 809.1 716 171.2 1377.4 3 1191.2 19 406.4 983.8 1135.8 750.1 703.8 1.1 1 1.6 981.4 836.6 496.4 1512.5 135.6 1075 20 1225.7 1048.4 898.3 752.8 786.5 124.9 1 345.5 886.1 892.5 737.5 1249.7 932.2 1197.9 †NonT7 primer designations are the SEQ ID NOs, as listed in Table 2, supra. Similarly, T7 primer designations are the SEQ ID NOs, as listed in Table 2, supra.

Primer pairs that demonstrated a signal-to-background ratio of at least 10 or more were considered to be successful for amplification of HEV target nucleic acid to at least as low as 15 copies per reaction, while those pairs demonstrating a ratio of below 10 were considered to be unsuccessful. Ratios over 10 are shown in bold in Table 3.

Example 2

This example describes HEV amplification and detection assays performed using different oligomer combinations. Reagents, oligonucleotides, and samples used in these experiments are listed in Tables 4-6 below.

TABLE 4 HEV Assay Reagents Reagent Name Description Internal Control A HEPES buffered solution containing detergent and Reagent an RNA transcript. Target Capture A HEPES buffered solution containing detergent, Reagent capture oligonucleotides and magnetic microparticles. Amplification Primers, dNTPs, NTPs and co-factors in TRIS Reagent buffered solution containing ProClin 300 as preservative. Enzyme Reagent MMLV Reverse Transcriptase and T7 RNA Polymerase in HEPES/TRIS buffered solution containing 0.05% sodium azide as preservative. Probe Reagent Chemiluminescent oligonucleotide probes in succinate buffered solution containing detergent. HEV Negative A HEPES buffered solution containing detergent. Calibrator HEV Positive A HEPES buffered solution containing detergent and Calibrator an HEV RNA transcript.

TABLE 5 HEV-specific Oligonucleotides Class SEQ ID NO: Target Capture Oligo 74 Target Capture Oligo 76 Target Capture Oligo 43 Target Capture Oligo 3 Target Capture Oligo 7 Non-T7 Primer 29 Non-T7 Primer 66 Non-T7 Primer 65 Non-T7 Primer 64 Non-T7 Primer 62 T7 Primer 12 T7 Primer 15 AE Labeled Probe 67 AE Labeled Probe 55 AE Labeled Probe 55 AE Labeled Probe 55

TABLE 6 Samples Tested Sample Description Positive Sample HEV In Vitro Transcript (IVT) in IC buffer Negative Sample HEV negative serum Steps Performed Principles of the Procedure

The HEV assay involved three main steps, which take place in a single tube: sample preparation; HEV RNA target amplification by Transcription-Mediated Amplification (TMA); and detection of the amplification products (amplicon) by the Hybridization Protection Assay (HPA).

During sample preparation, RNA was isolated from specimens via the use of target capture. The specimen was treated with a detergent to solubilize the viral particles, denature proteins and release viral genomic RNA. Oligonucleotides (“capture oligonucleotides”) that are homologous to highly conserved regions of HEV were hybridized to the HEV RNA target, if present, in the test specimen. The hybridized target was then captured onto magnetic microparticles that were separated from the specimen in a magnetic field. Wash steps were utilized to remove extraneous components from the reaction tube. Magnetic separation and wash steps were performed with a target capture system.

Target amplification occurred via TMA, which is a transcription-based nucleic acid amplification method that utilizes two enzymes, MMLV reverse transcriptase and T7 RNA polymerase. The reverse transcriptase was used to generate a DNA copy (containing a promoter sequence for T7 RNA polymerase) of the target RNA sequence. The T7 RNA polymerase produces multiple copies of RNA amplicon from the DNA copy template. The HEV assay utilized the TMA method to amplify regions of HEV RNA.

Detection was achieved by HPA using single-stranded nucleic acid probes with chemiluminescent labels that are complementary to the amplicon. The labeled nucleic acid probes hybridize specifically to the amplicon. The Selection Reagent differentiated between hybridized and unhybridized probes by inactivating the label on unhybridized probes. During the detection step, the chemiluminescent signal produced by the hybridized probe was measured by a luminometer and was reported as Relative Light Units (RLU).

Internal Control was added to each test specimen and assay calibrator via the working Target Capture Reagent. The Internal Control (IC) in the HEV assay controlled for specimen processing, amplification and detection steps. Internal Control signal was discriminated from the HEV signal by the differential kinetics of light emission from probes with different labels. Internal Control-specific amplicon was detected using a probe with rapid emission of light (flasher signal). Amplicon specific to HEV was detected using probes with relatively slower kinetics of light emission (glower signal). The Dual Kinetic Assay (DKA) is a method used to differentiate between the signals from flasher and glower labels.

Order of Steps

Target Capture: Nucleic acids underwent specimen processing and target capture prior to amplification essentially according to the procedures disclosed in published International Patent Application No. PCT/US2000/18685, except that templates were captured using Hepatitis E virus target capture oligonucleotides having the sequences given herein. Notably, capture oligonucleotides do not participate in the amplification or detection reactions of the assay. Virus-containing samples were combined with a target capture reagent to facilitate nucleic acid release and hybridization to capture oligonucleotides disposed on magnetic beads. Incubation were performed to capture HEV nucleic acids from the sample. Following the incubation, the magnetic beads and any capture target nucleic acids were transferred to a magnetic wash station for 10-20 min for a wash step. Captured target nucleic acids were then assayed in an amplification reaction.

Transcription mediated amplification (TMA) reactions were carried out essentially as described in Example 1. Isolated target nucleic acids were combined with primers in amplification reagent (Table 2) heated to 60° C. for 10 minutes and then cooled to 42° C. to facilitate primer annealing. Enzyme reagent was then added to the mixtures and the amplification reactions were carried out, as will be familiar to those having an ordinary level of skill in the art.

Detection: After a one hour incubation at 42° C., the amplification reaction volumes were subjected to hybridization assays employing probes internally labeled with a chemiluminescent compound using techniques familiar to those having an ordinary level of skill in the art, and then used in amounts equivalent to about 2 E+06 to about 6 E+06 RLU for each probe in the hybridization reaction. (See e.g., U.S. Pat. Nos. 5,585,481 and 5,639,604, the disclosures of these patents are incorporated by reference). Hybridization reactions were followed by addition of an aliquot of 0.15 M sodium tetraborate (pH 8.5), and 1% TRITON X-100 (Union Carbide Corporation; Danbury, Conn.). These mixtures were first incubated at 60° C. for 10 minutes to inactivate the chemiluminescent label linked to unhybridized probe, and cooled briefly to room temperature (i.e., 15-30° C.) prior to reading the hybridization signal. Chemiluminescence due to hybridized probe in each sample was assayed using commercially available instrumentation (Gen-Probe Incorporated; San Diego, Calif.) configured for injection of 1 mM nitric acid and 0.1% (v/v) hydrogen peroxide, followed by injection of a solution containing 1 N sodium hydroxide. Results for the chemiluminescent reactions were measured in relative light units (RLU). In this procedure, the signal/noise value corresponded to the chemiluminescent signal (measured in RLU) generated by label associated with specifically hybridized probe divided by a background signal measured in the absence of a target nucleic acid.

Results and Discussion

Experiment I—Combining Amplification Systems

The objective was to test pairs of T7 and non-T7, as well as some individually, in order to confirm which of the different primer combinations exhibited better performance and which individual primers functionally performed the best. Target capture reactions were performed using SEQ ID NO:76 as a target capture oligomer. Detection reactions were performed using SEQ ID NO:67 as an AE-labeled detection probe oligomer. Amplification oligomer combinations are shown in Table 7, below. After determining SEQ ID NO:29+SEQ ID NO:65 and SEQ ID NO:12 primers work best in previous experiments, much of this experiment focused on these particular primers. Increasing the concentrations of some primers were also tested to evaluate performance and function in the system. Panels at 20 copies/mL HEV IVT (8 replicates) and BI0052 negative serum (2 replicates) were tested for each amplification system.

TABLE 7 Experimental Design for Experiment I Amp* Non-T7 Primer T7 Primer Amp Systems (SEQ ID NO) (SEQ ID NO) 1 29 12 2 65 12 3 29 + 65 12 4 29 + 65 15 5 29 + 65 12 + 15 6 29 + 65 12 + 15 7 29 + 65 12 + 15 8 29 + 65 12 + 15 9 29 + 65 12 + 15 10 29 12 + 15 11 66 12 + 15 12 65 12 + 15 13 64 12 + 15 14 62 12 + 15 15 65 15 16 65 15 17 65 15 *In all Amp Systems except for 6, 7, 8, 9, 16 & 17, the Non-T7 Primers and the T7 Primers were used at roughly the same concentrations to one another. In Amp Systems 6, 7, 8, 9, 16 & 17 the following primer members were used at twice the concentration of the other primers in the reaction; 65, 29, 12, 15, 65 and 15, respectively.

Table 8 shows a summary for Experiment I. When paired with SEQ ID NO:12, SEQ ID NO:65 performed better than SEQ ID NO:29, as shown in the higher mean RLU and lower % CV values (Amp systems 1 and 2). When paired with SEQ ID NO:29+SEQ ID NO:65, SEQ ID NO:12 performed better than SEQ ID NO:15, as shown in the higher mean RLU and lower % CV values (Amp systems 3 and 4). As seen with Amp system 5, adding SEQ ID NO:15 improved RLU signal compared to Amp system 3. Keeping SEQ ID NO:29+SEQ ID NO:65 both at 5 pmol/reaction showed better RLU and % CV performance (Amp system 5) than increasing SEQ ID NO:65 to 10 pmol/reaction in Amp system 6. When comparing Amp systems 8 and 9, increasing SEQ ID NO:12 from 5 to 10 pmol/reaction showed better performance than increasing SEQ ID NO:15. Amp systems 10 through 14 compared which non-T7 would perform with higher RLUs and low % CVs. Based on the criteria, SEQ ID NO:66 and SEQ ID NO:64 showed the highest RLUs and lowest % CVs. Amp systems 15 through 17 increased the concentration from 5 to 10 pmol/reaction of either the non-T7 or T7 in the system. Comparing Amp systems 15 and 16 these data show that increasing SEQ ID NO:65 improved performance (Amp system 16) while, on the other hand, increasing SEQ ID NO:15 decreased performance (Amp system 17).

TABLE 8 Summary of Results for Experiment I RLU RLU RLU System Panel Mean SD % CV S/CO % R Amp 1 20 c/mL 1,035,254 60,059 5.80 105.76 100 Amp 2 20 c/mL 1,367,829 17,738 1.30 139.73 100 Amp 3 20 c/mL 1,265,443 40,365 3.19 129.27 100 Amp 4 20 c/mL 354,741 412,106 116.17 36.24 100 Amp 5 20 c/mL 1,307,112 39,148 2.99 133.53 100 Amp 6 20 c/mL 1,138,545 346,932 30.47 116.31 100 Amp 7 20 c/mL 1,157,461 23,540 2.03 118.24 100 Amp 8 20 c/mL 1,315,063 11,663 0.89 134.34 100 Amp 9 20 c/mL 993,828 353,189 35.54 101.53 100 Amp 10 20 c/mL 1,110,792 102,117 9.19 113.47 100 Amp 11 20 c/mL 1,377,343 45,052 3.27 140.70 100 Amp 12 20 c/mL 1,343,435 66,431 4.94 137.24 100 Amp 13 20 c/mL 1,372,134 48,909 3.56 140.17 100 Amp 14 20 c/mL 1,342,071 92,993 6.93 137.10 100 Amp 15 20 c/mL 606,324 424,338 69.99 61.94 100 Amp 16 20 c/mL 1,089,242 259,106 23.79 111.27 100 Amp 17 20 c/mL 395,478 164,783 41.67 40.40 100 RLU = Relative Light Units; SD = Standard Deviation; CV = Coefficient of Variation; S/CO = Signal to Cutoff Ratio; % R = % Reactivity. Experiment II—Confirming the Best Performing Primer Pair Combination

The objective was to test pairs of T7 and non-T7 and different primer combinations in the amplification reagent. Panel at 20 c/mL HEV IVT was tested in 5 replicates for each amplification system.

Table 9 shows the experimental design. All conditions stayed the same except for the amplification systems tested. Target capture was performed using SEQ ID NO:76 and detection was performed using an AE-labeled SEQ ID NO:67 as a detection probe. As shown in Experiment I, Amp system 1 showed good performance, and that was set as a control. Amp systems 2 through 4 tested how each non-T7 compared to each other when only paired with SEQ ID NO:15. Since SEQ ID NO:66, SEQ ID NO:64, and SEQ ID NO:62 showed good RLU and % CV performance in Experiment I, each these non-T7s were tested in the primer pairing combinations shown in Amp systems 5 through 7.

TABLE 9 Experimental Design for Experiment II Amp* Non-T7 T7 Amp Systems (SEQ ID NO) (SEQ ID NO) 1 29 + 65 12 + 15 2 66 15 3 64 15 4 62 15 5 29 + 66 12 + 15 6 29 + 64 12 + 15 7 29 + 62 12 + 15

Table 10 shows a summary for Experiment II. When comparing Amp systems 2 through 4, SEQ ID NO:64 showed best performance in higher mean RLU compared to SEQ ID NO:66 and SEQ ID NO:62. When comparing Amp systems 1 and 6, SEQ ID NO:29 paired with SEQ ID NO:64 performed better than SEQ ID NO:29+SEQ ID NO:65. Even though Amp system 5 showed the highest RLU performance when compared with Amp systems 6 and 7, Amp system 6 was chosen for further study based on sequence alignment.

TABLE 10 Summary of Results for Experiment II RLU RLU RLU System Panel Mean SD % CV S/CO % R Amp 1 20 c/mL 1,054,954 455,280 43.16 107.77 100 Amp 2 20 c/mL 108,457 79,457 73.26 11.08 100 Amp 3 20 c/mL 386,281 308,958 79.98 39.46 100 Amp 4 20 c/mL 166,652 96,680 58.01 17.02 100 Amp 5 20 c/mL 1,251,195 73,533 5.88 127.82 100 Amp 6 20 c/mL 1,219,780 130,591 10.71 124.61 100 Amp 7 20 c/mL 1,242,616 54,910 4.42 126.94 100 RLU = Relative Light Units; SD = Standard Deviation; CV = Coefficient of Variation; S/CO = Signal to Cutoff Ratio; % R = % Reactivity. Experiment III—Screening New Probe Pairs

The objective was to test new probe oligo pairs and evaluate the performance. Each of the probes was also tested individually to evaluate performance. Panel at 0 (IC buffer only) and 1,000 copies/mL HEV IVT were tested as negative and positive calibrators, respectively, of the assay. Panel at 20 copies/mL of HEV IVT and BI0052 negative serum were tested as samples at 7 replicates each. Each panel type was tested for each probe condition.

Table 11 shows the experimental design. All conditions stayed the same except for the 7 probe systems tested. Internal control (IC) probe was also added to each of the 7 probes listed in the table.

TABLE 11 Experiments Design for Experiment III Probe Probe# Probe‡ (RLU/rxn) TCOs in TCR Primers in Amp* Probe 1 SEQ ID NO: 67 2.00E+06 SEQ ID NO: 43 SEQ ID NO: 29 + SEQ ID NO: 12 + Probe 2 SEQ ID NO: 55 [8, 9] 3.00E+06 SEQ ID NO: 3 SEQ ID NO: 64 SEQ ID NO: 15 Probe 3 SEQ ID NO: 55 [10, 11] 3.00E+06 SEQ ID NO: 7 Probe 4 SEQ ID NO: 55 [12, 13] 6.00E+06 Probe 5 SEQ ID NO: 67 2.00E+06 SEQ ID NO: 55 [12, 13] 6.00E+06 Probe 6 SEQ ID NO: 55 [8, 9] 3.00E+06 SEQ ID NO: 55 [12, 13] 6.00E+06 Probe 7 SEQ ID NO: 55 [10, 11] 3.00E+06 SEQ ID NO: 55 [12, 13] 6.00E+06 IC Probe SEQ ID NO: 78-PPO 1.00E+06 added to Hybrid Probes #1-7 ‡The [#, #] designation refers to the nucleobase residues (counting from 5′ to 3′) between which a chemiluminescent label was located for SEQ ID NO: 55. *SEQ ID NO: 64 was tested at 2X the concentration per reaction compared to each of SEQ ID NOs: 12, 15 & 29.

Table 12 shows a summary for Experiment III. When looking at the probe reagents containing probe pairs (Probes 5, 6, and 7), probes 5 and 6 showed low background (low analyte RLU in the Negative Calibrator and BI0052 negative serum), and high analyte RLU signal in the Positive Calibrator and HEV IVT at 20 c/mL. Probe 7 also showed a similar result. Of the three probes (Probes 5, 6, and 7), Probe 5 had the highest analyte RLU signal in the positive samples. For the individual probe performance (Probes 1 through 4), SEQ ID NO:67 showed the highest analyte RLU signal in the positive samples, which relatively high background signal in the negative samples.

TABLE 12 Summary of Results for Experiment III - IC RLU and analyte RLU IC RLU Analyte RLU Condition Panel Mean SD % CV 95% CI Mean SD % CV 95% CI Probe1 Neg Cal 134,234 6,423 4.78 454 468 103.06 Probe1 Pos Cal 1k c/mL 134,264 22,989 17 1,207,525 10,587 0.88 Probe1 20 c/mL HEV IVT 134,667 25,652 19.05 19,003 1,129,086 121,191 10.73 89,778 Probe1 BI0052 BN 140,531 12,824 9.13 9,500 626 756 120.61 560 593600 Probe2 Neg Cal 130,780 3,363 2.57 595 217 36.46 Probe2 Pos Cal 1k c/mL 130,740 12,322 9 1,209,761 16,267 1.34 Probe2 20 c/mL HEV IVT 178,999 26,435 14.77 19,583 855,109 371,340 43.43 275,087 Probe2 BI0052 BN 126,281 9,860 7.81 7,304 916 265 28.93 196 593600 Probe3 Neg Cal 134,046 4,495 3.35 144 250 173.21 Probe3 Pos Cal 1k c/mL 134,061 9,411 7 854,435 10,650 1.25 Probe3 20 c/mL HEV IVT 132,559 18,420 13.90 13,645 649,395 287,954 44.34 213,316 Probe3 BI0052 BN 134,791 9,170 6.80 6,793 432 609 140.93 451 593600 Probe4 Neg Cal 127,697 7,878 6.17 4,580 376 8.21 Probe4 Pos Cal 1k c/mL 127,584 1,216 1 379,813 8,359 2.20 Probe4 20 c/mL HEV IVT 135,488 2,617 1.93 1,939 160,017 74,978 46.86 55,543 Probe4 BI0052 BN 129,564 5,516 4.26 4,086 4,189 461 11.01 342 593600 Probe5 Neg Cal 135,336 2,380 1.76 5,778 1,312 22.70 Probe5 Pos Cal 1k c/mL 135,756 5,561 4 1,585,647 9,575 0.60 Probe5 20 c/mL HEV IVT 136,693 9,838 7.20 7,288 1,131,831 490,936 43.38 363,684 Probe5 BI0052 BN 129,554 10,328 7.97 7,651 6,440 1,997 31.01 1,479 593600 Probe6 Neg Cal 135,671 4,178 3.08 6,024 488 8.11 Probe6 Pos Cal 1k c/mL 135,139 8,626 6 1,468,351 32,266 2.20 Probe6 20 c/mL HEV IVT 169,229 32,044 18.94 23,738 787,965 610,399 77.47 452,181 Probe6 BI0052 BN 141,381 6,476 4.58 4,797 5,965 901 15.11 668 593600 Probe7 Neg Cal 131,353 1,086 0.83 6,194 415 6.71 Probe7 Pos Cal 1k c/mL 131,669 15,624 12 1,200,190 17,730 1.48 Probe7 20 c/mL HEV IVT 189,382 12,230 6.46 9,060 1,062,012 44,717 4.21 33,126 Probe7 BI0052 BN 139,499 9,591 6.88 7,105 5,746 694 12.09 514 593600 RLU = Relative Light Units; SD = Standard Deviation; CV = Coefficient of Variation; CI = Confidence Interval

Table 13 shows a summary of the mean analyte S/CO values, including the reactivity, and validity, for Experiment III.

TABLE 13 Summary of Results for Experiment III - Analyte S/CO, Reactivity, and Validity Analyte S/CO Condition Panel Mean SD % CV 95% CI NR R Invalid Valid % R Probe1 Neg Cal 0.01 0.01 103.06 0 Probe1 Pos Cal 1k c/mL 32.92 0.29 0.88 0 Probe1 20 c/mL HEV IVT 30.78 3.30 10.73 2.45 0 7 0 7 100 Probe1 BI0052 BN 0.02 0.02 120.61 0.02 7 0 0 7 0 593600 Probe2 Neg Cal 0.02 0.01 36.46 0 Probe2 Pos Cal 1k c/mL 32.80 0.44 1.34 0 Probe2 20 c/mL HEV IVT 23.18 10.07 43.43 7.46 1 6 0 7 86 Probe2 BI0052 BN 0.02 0.01 28.93 0.01 7 0 0 7 0 593600 Probe3 Neg Cal 0.01 0.01 173.21 0 Probe3 Pos Cal 1k c/mL 33.15 0.41 1.25 0 Probe3 20 c/mL HEV IVT 25.19 11.17 44.34 8.28 1 6 0 7 86 Probe3 BI0052 BN 0.02 0.02 140.93 0.02 7 0 0 7 0 593600 Probe4 Neg Cal 1.00 0.08 8.21 3 Probe4 Pos Cal 1k c/mL 82.93 1.83 2.20 3 Probe4 20 c/mL HEV IVT 34.94 16.37 46.86 12.13 0 0 7 0 #DIV/0! Probe4 BI0052 BN 0.91 0.10 11.01 0.07 0 0 7 0 #DIV/0! 593600 Probe5 Neg Cal 0.11 0.02 22.70 0 Probe5 Pos Cal 1k c/mL 29.72 0.18 0.60 0 Probe5 20 c/mL HEV IVT 21.22 9.20 43.38 6.82 0 7 0 7 100 Probe5 BI0052 BN 0.12 0.04 31.01 0.03 7 0 0 7 0 593600 Probe6 Neg Cal 0.12 0.01 8.11 0 Probe6 Pos Cal 1k c/mL 29.32 0.64 2.20 0 Probe6 20 c/mL HEV IVT 15.74 12.19 77.47 9.03 1 6 0 7 86 Probe6 BI0052 BN 0.12 0.02 15.11 0.01 7 0 0 7 0 593600 Probe7 Neg Cal 0.15 0.01 6.71 0 Probe7 Pos Cal 1k c/mL 28.44 0.42 1.48 0 Probe7 20 c/mL HEV IVT 25.17 1.06 4.21 0.78 0 7 0 7 100 Probe7 BI0052 BN 0.14 0.02 12.09 0.01 7 0 0 7 0 593600 S/CO = Signal to cutoff ratio; SD = Standard Deviation; CV = Coefficient of Variation; CI = Confidence Interval; NR = Non-Reactive; R = Reactive; % R = % Reactivity

Example 3

This example describes evaluation of analytical sensitivity, cross-reactivity, specificity, and further probe formulation for an HEV amplification and detection assay. Reagents are as previously described in Example 2. Oligonucleotides and samples used in these experiments are listed in Tables 14 and 15 below.

TABLE 14 HEV-specific Oligonucleotides and Internal Control Flasher Probe and PPO SEQ ID NO Class¹ Sequence (5′-3′) 64 Non-T7 TGCTGCCCGCGCCAC Primers 29 Non-T7 CCGGCGGTGGTTTCT Primers 37 AE Labeled gaccggguugauucuC Probes 67 AE Labeled ugauucucagcccuucgC Probes 71 AE Labeled ugauugucagcccuucgC Probes 36 Probe GAAGGGCTGAGAATCA Protection Oligos 40 Probe GAGAATCAACCCGGT Protection Oligos 12 T7 Promoter AATTTAATACGACTCACTATAGGGAGA Primers AGGGGTTGGTTGGATGAATATAGGGGA 15 T7 Promoter AATTTAATACGACTCACTATAGGGAGA Primers GGGCGAAGGGGTTGGTTGGATGAA  3 Capture aagacauguuauucauuccacccTTTA Oligos AAAAAAAAAAAAAAAAAAAAAAAAAAA AA  7 Capture aagacauguuauucauucuacccTTTA Oligos AAAAAAAAAAAAAAAAAAAAAAAAAAA AA 43 Capture gaggggcgcugggacuggucgTTTAAA Oligos AAAAAAAAAAAAAAAAAAAAAAAAAAA 78 AE Labeled ccacaagcuuagaagauagagagG Probes 79 Probe CTATCTTCTAAGCTTG Protection Oligos ¹Lower case = methoxy RNA; Upper case = DNA

TABLE 15 Samples Tested Sample Description Source Matrix HEV 1st World Health PEI (Paul Lyoph- Standard Organization Inter- Ehrlich ilized (6329/10) national Standard for Institute) plasma Hepatitis E Virus RNA Nucleic Acid Amplifi- cation Techniques (NAT)-Based Assays HEV RNA HEV genotypes 1-4 In-house IC buffer transcripts HEV Frozen plasma, 2100 BocaBiolistics plasma negative unique donors plasma Steps Performed

Assay steps were performed as described in Example 2.

Results and Discussion

Analytical Sensitivity

Analytical sensitivity of the HEV assay on was determined using the 1st World Health Organization (WHO) International Standard (IS) for HEV RNA Nucleic Acid Amplification Techniques (NAT)-Based Assays (PEI code 6329/10). The WHO IS is based on HEV genotype 3a derived from a clinical isolate (GenBank accession number AB630970) first obtained by the Paul Ehrlich Institute (Langen, Germany) from the Hokkaido Red Cross [part of The Japanese Red Cross (JRC)].

The sensitivity was determined to be 8.4 International Unit (IU)/mL at 95% detection level for HEV WHO IS.

TABLE 16 Analytical Sensitivity with the WHO Standard for HEV International Units/mL Percent Reactivity of (n = 81) HEV WHO IS 90 100  30 100  10 91  3 52  1 22  0  0 Detection Probability by Limit of Detection Probit Analysis* in IU/mL 95% LOD (95% fiducial limits) 8.4 (6.3-12.8) 50% LOD (95% fiducial limits) 1.7 (1.4-2.1)  *Using SAS 9.2 Probit normal model

Analytical sensitivity of HEV Assay among various HEV genotype IVTs.

RNA IVTs were prepared for each of the major known HEV genotypes 1-4, including three sub-genotypes for HEV-3, namely HEV-3a, HEV-3b and HEV-3f. HEV-3a IVT is used as the HEV assay Positive Calibrator. In addition, RNA IVT was also made for a putative HEV genotype 6. The sensitivity for each of the major HEV genotype/subgenotype IVT was determined to be in the range of 10-19 c/mL at 95% detection level. The exception is with the putative HEV genotype 6 in which the sensitivity of the HEV Assay is about 5 times lower compared to the average sensitivity of HEV genotype 1-4 IVTs. The lower detection of the putative HEV genotype 6 strain in the HEV assay is mitigated by the fact that there is only one strain (wbJOY_06; GenBank accession number AB602441) associated with the putative genotype 6, that it was found in a single wild boar in Japan, and that it has not been associated with any known human HEV cases (Takahashi M et al., J. Gen. Virol. 92:902-908, 2011).

TABLE 17 Analytical Sensitivity among HEV Genotype IVTs Copies/mL Percent Reactivity of Genotype^(a) IVTs (n = 81) 1 2 3a 3b 3f 4c 6^(b) 90 100 100 100 100 100 100 98 30 100 100 100 99 100 98 88 10 94 94 91 94 95 90 46 3 44 49 52 42 60 42 16 1 17 25 22 17 21 21 7 0 0 0 0 0 0 0 0 Detection Probability by Probit Analysis^(c) Limit of Detection (LOD) in Copies/mL 95% LOD 12.7 13.0 13.7 14.6 10.2 18.9 69.6 (95% fiducial limits) (9.6-18.6) (9.6-19.7) (10.1-20.7) (11-21.5) (7.7-15.2) (13.9-28.8) (35.3-256.7) 50% LOD 2.8 2.4 2.5 2.9 2.2 2.9 9.0 (95% fiducial limits) (2.4-3.3) (2.0-2.9) (2.0-3.0) (2.4-3.5) (1.8-2.6) (2.4-3.6) (5.5-14.8) ^(a)Based on GenBank accession numbers NC001434 (1), M74506 (2), AB630970 (3a), AB630971 (3b), FJ956757 (3f), AB161717 (4c) and AB602441 (6) ^(b)Putative HEV genotype ^(c)Using SAS 9.2 PROBIT normal model Cross-Reactivity

In silico BLAST analysis of the HEV-specific oligos did not show sequence matches to other blood borne pathogens except hepatitis C virus (HCV). The HEV oligo SEQ ID NO:64 showed 100% identity to part of the HCV envelope gene (positions 199-213 in GenBank accession number JQ063881). It is expected that this will not cause any false positivity issue because all the rest of the HEV-specific oligo sequences (whole or in part) are not found in the HCV genomic sequence. This is supported by testing of HCV-positive samples which showed non-reactivity in the HEV assay. Other bloodborne viruses (human immunodeficiency virus 1, hepatitis B virus, and West Nile virus) tested were also non-reactive for the HEV assay.

TABLE 18 HEV Cross-reactivity with Bloodborne Pathogens Condition Blood Borne Viruses Added Level n Mean S/CO* % Reactivity HEV Positive HIV-1 Type B (IIIB) 100 c/mL 8 23.57 100% (30 IU/mL HIV-1 Group O 100 c/mL 9 27.95 100% WHO IS HCV 1A 100 c/mL 9 28.34 100% added) HCV 2B ~300 c/mL 9 28.32 100% HBV ~32 IU/mL 8 25.84 100% WNV Sample 022 3,000 c/mL 9 28.74 100% WNV Sample 688 3,000 c/mL 9 28.15 100% WNV Sample 630 3,000 c/mL 9 22.64 100% HEV HIV-1 Type B (IIIB) 100 c/mL 9 0.01 0% Negative HIV-1 Group O 100 c/mL 9 0.02 0% HCV 1A 100 c/mL 9 0.02 0% HCV 2B ~300 c/mL 8 0.03 0% HBV ~32 IU/mL 9 0.02 0% WNV Sample 022 3,000 c/mL 9 0.01 0% WNV Sample 688 3,000 c/mL 9 0.03 0% WNV Sample 630 3,000 c/mL 9 0.02 0% *S/CO (Signal to Cutoff) > or = 1.0 considered reactive Specificity

The specificity of the HEV assay on was determined to be 99.95% (95% Score CI: 99.73%-99.99%) for 2,100 unlinked, frozen plasma specimens. The data showed excellent specificity of the HEV assay in frozen plasma specimens.

TABLE 19 HEV Specificity on Frozen Plasma Specimens N % Specimens Tested 2,100 100 Valid Results 2,100 100 Initial Reactive 1 0.05 Repeat Reactive 0 0 Specificity (95% CI)* 99.95% (99.73-99.99) *CI = Confidence Interval using Score method Probe Design

HEV probe oligo SEQ ID NO:71 showed an increased detection signal for HEV-3f relative to SEQ ID NO:55 [12,13], increasing the HEV 3f sensitivity from an 95% LOD of 12.4 c/mL to 10.2 c/mL and the RLU signal to a level more comparable to the other HEV genotypes tested.

Example 4

This example describes the determination of HEV RNA prevalence in blood donors and the performance characteristics of an HEV amplification and detection assay using oligonucleotides as described above.

Methods

Studies were conducted to show the analytical sensitivity to the HEV WHO International Standard (Paul Ehrlich Institute (PEI) code 6329/10) and RNA transcripts of all four clinically relevant HEV genotypes (1-4), and clinical specificity of the HEV assay described above (“the HEV assay”). Plasma (for nucleic acid testing) was collected from ˜10,000 unlinked, volunteer whole blood donors. Samples were tested for HEV RNA using the HEV assay on the automated Panther system (Hologic, Inc., cat. no. 303095). Samples that were repeatedly reactive using TMA were confirmed by PCR and sequence analysis.

Results

The HEV assay showed a 95% limit of detection (LOD) of 7.9 IU/mL using the WHO Standard and 14.4 copies/mL using HEV 3a RNA transcript that had the same sequence as the HEV WHO Standard (see Tables 20 and 21). The assay detected all four HEV genotypes with a 95% LOD ranging from 7.9 to 17.7 copies/mL using RNA transcripts for HEV 1, 2, 3a, 3b, 3f and 4c (see Table 23). A total of 9,998 blood donations were screened for HEV RNA using the TMA assay. Three TMA repeat reactive donations were identified and confirmed positive by testing independent aliquots with PCR. One sample was determined to be genotype 3f by sequence analysis. Based on this study, HEV RNA prevalence rate in these blood donations was estimated to be 1 in 3,333 or 0.03% and the clinical specificity of the HEV assay was determined to be 99.99% (see Table 22 and Table 24).

TABLE 20 Analytical Sensitivity to HEV WHO International Standard (PEI) code 6329/10 % Reactivity (95% CI) 90^(†) 30 10 3 1 0 HEV WHO 100 100 98 67 27 0 IU/mL (98-100) (98-100) (94-99) (60-74) (20-34) (0-5) (95% CI) HEV3a IVT 100 100 88 38 20 0 c/mL (95-100) (95-100) (71-93) (28-49) (14-31) (0-5) (95% CI) WHO, n = 162, In Vitro Transcript (IVT) & negative, n = 81 ^(†)The values 90, 30, 10, 3, 1 and 0 in the row above the percent reactivity results refer to IU/mL in the TMA reaction for the HEV WHO standard, and refer to copies/mL in the TMA reaction for the HEV3a IVT.

TABLE 21 Analytical Sensitivity to HEV WHO International Standard (PEI) code 6329/10 HEV WHO Std IU/mL HEV3a IVT, c/mL Detection Probability (95% Fiducial Limits) (95% Fiducial Limits) 95% 7.89 (6.63-9.83) 14.40 (11.28-20.14) 50% 2.02 (1.71-2.32) 3.63 (2.92-4.37) 

TABLE 22 HEV RNA Prevalence Among Blood Donations n HEV RNA Prevalence (Rate) 9,998 3 or 1 in 3,333 (0.03%; 95% CI: 0.01%-0.09%)

TABLE 23 Analytical Sensitivity to HEV Genotype 1-4 In Vitro Transcripts Copies/mL Percent Reactivity of Genotype¹ IVTs (n = 81) HEV1 HEV2 HEV3a HEV3b HEV3f HEV4c 90 100 100 100 100 100 100 30 100 100 100 100 100 100 10 96 95 88 86 98 80 3 77 42 38 46 59 36 1 31 27 20 12 20 19 0 0 0 0 0 0 0 Detection Probability² Limit of Detection in Copies/mL 95% LOD 7.88 11.32 14.40 13.72 8.26 17.66 (95% fiducial limits) 6.11-11.26 8.83-16.03 11.28-20.14 10.89-18.78 6.65-11.11 13.77-24.74 50% LOD 1.64 2.84 3.63 3.74 2.48 4.16 (95% fiducial limits) 1.21-2.06 2.26-3.44 2.92-4.37 3.03-4.47 2.01-2.96 3.34-5.03 ¹Based on GenBank accession numbers NC001434 (1), M74506 (2), AB630970 (3a), AB630971 (3b), FJ956757 (3f), AB161717 (4c) ²SAS Enterprise Guide 5.1 Probit Analysis using Gompertz model

TABLE 24 HEV Assay Specificity Testing Results of Blood Donations n % #Unique Donations Tested 9,998 100.00 #Valid Nonreactive Retest Results 9,995 99.97 #Initial Reactives 4 0.04 #Repeat Reactives 3 0.03 Specificity Rate 99.99% (95% CI: 99.94%-100.00%)

DISCUSSION/CONCLUSION

Results showed that the HEV assay was sensitive and specific, and detected all four clinically relevant HEV genotypes. Testing of nearly 10,000 individual blood donors for this study yielded three HEV RNA confirmed positive donations resulting in an HEV RNA prevalence rate of 0.03%. Based on the performance demonstrated in this study, the HEV assay may be useful for screening blood donations for HEV RNA.

SEQUENCES

TABLE 25 Exemplary Oligomer Sequences, Reference Sequences, and Regions SEQ ID NO: Oligonucleotide Sequence Oligonucleotide Description  1 Accession No. AB074918.2 HEV reference sequence GI:21218075  2 aagacauguuauucauuccaccc Target-hybridizing sequence of SEQ ID NO: 2  3 aagacauguuauucauuccacccTTTAAAAA Target capture oligo  4 aagacauguuauucauucYWccc Target-hybridizing sequence of target capture oligo  5 TgaTTgTcagcccTTcgC Probe  6 aagacauguuauucauucuaccc Target-hybridizing sequence of SEQ ID NO: 7  7 aagacauguuauucauucuacccTTTAAAAA Target capture oligo  8 aagacauguuauucauucYWcccTTTAAAAA Target capture oligo  9 AATTTAATACGACTCACTATAGGGAGAAGGG T7 amp oligo GTTGGTTGGATGAATATAG 10 AATTTAATACGACTCACTATAGGGAGAAGGG T7 amp oligo GTTGGTTGGATGAATATAGG 11 AATTTAATACGACTCACTATAGGGAGAAGGG T7 amp oligo GTTGGTTGGATGAATATAGGG 12 AATTTAATACGACTCACTATAGGGAGAAGGG T7 amp oligo GTTGGTTGGATGAATATAGGGGA 13 ctatgctgcccgcgccaccg Amp oligo hybridizing region 14 AATTTAATACGACTCACTATAGGGAGAGGCG T7 amp oligo AAGGGGTTGGTTGGATGAA 15 AATTTAATACGACTCACTATAGGGAGAGGGC T7 amp oligo GAAGGGGTTGGTTGGATGAA 16 ccggcggtggtttctggggtgac Amp oligo hybridizing region 17 AATTTAATACGACTCACTATAGGGAGAGGTT T7 amp oligo GGTTGGATGAATATAG 18 AATTTAATACGACTCACTATAGGGAGAGGTT T7 amp oligo GGTTGGATGAATATAGG 19 AATTTAATACGACTCACTATAGGGAGAGGTT T7 amp oligo GGTTGGATGAATATAGGG 20 AATTTAATACGACTCACTATAGGGAGAGGTT T7 amp oligo GGTTGGATGAATATAGGGGA 21 AGGGGTTGGTTGGATGAATATAG Target-hybridizing sequence of SEQ ID NO: 9 22 AGGGGTTGGTTGGATGAATATAGG Target-hybridizing sequence of SEQ ID NO: 10 23 AGGGGTTGGTTGGATGAATATAGGG Target-hybridizing sequence of SEQ ID NO: 11 24 AGGGGTTGGTTGGATGAATATAGGGGA Target-hybridizing sequence of SEQ ID NO: 12 25 GGTTGGTTGGATGAA Amp oligo core sequence 26 tgctgcccgcgcc Amp oligo core sequence 27 CGGCGGTGGTTTCT Amp oligo core sequence  28¹ NCGGCGGTGGTTTCTNN Non-T7 amp oligo 29 CCGGCGGTGGTTTCT Non-T7 amp oligo 30 CCGGCGGTGGTTTCTG Non-T7 amp oligo 31 CCGGCGGTGGTTTCTGG Non-T7 amp oligo 32 CGGCGGTGGTTTCTGG Non-T7 amp oligo 33 CTATGCTGCCCGCGCC Non-T7 amp oligo 34 CTATGCTGCCCGCGCCA Non-T7 amp oligo 35 CTATGCTGCCCGCGCCAC Non-T7 amp oligo 36 GAAGGGCTGAGAATCA Probe protection oligo 37 gaccggguugauucuC Probe 38 gaccggguugauucu Probe 39 gacagggttgattctcagcccttcgccc Probe target region 40 GAGAATCAACCCGGT Probe protection oligo 41 gaccgggTTgaTTcTC Probe 42 gaggggcgcugggacuggucg Target-hybridizing sequence of SEQ ID NO: 43 43 gaggggcgcugggacuggucgTTTAAAAAAA Target capture oligo AAAAAAAAAAAAAAAAAAAAAAA 44 tgcctatgctgcccgcgccaccggccggtca Amp oligo hybridizing region gccgtctggccgtcgccgtgggcggcgcagc ggcggtgccggcggtggtttctggggtgac 45 GGCGAAGGGGTTGGTTGGATGAA Target-hybridizing sequence of SEQ ID NO: 14 46 GGGCGAAGGGGTTGGTTGGATGAA Target-hybridizing sequence of SEQ ID NO: 15 47 SGGCGAAGGGGTTGGTTGGATGAATATAGGG Amp oligo hybridizing region GA 48 GGTTGGTTGGATGAATATAG Target-hybridizing sequence of SEQ ID NO: 17 49 GGTTGGTTGGATGAATATAGG Target-hybridizing sequence of SEQ ID NO: 18 50 GGTTGGTTGGATGAATATAGGG Target-hybridizing sequence of SEQ ID NO: 19 51 GGTTGGTTGGATGAATATAGGGGA Target-hybridizing sequence of SEQ ID NO: 20 52 GGTTTCTGGGGTGAC Non-T7 amp oligo 53 GTGGTTTCTGGGGTGA Non-T7 amp oligo 54 GTGGTTTCTGGGGTGAC Non-T7 amp oligo 55 GUUGAUUCUCAGCCCUUCGCCC Probe 56 SGGCGAAGGGGTTGGTTGGATGAA Target-hybridizing sequence of SEQ ID NO: 57 57 AATTTAATACGACTCACTATAGGGAGAsGGC T7 amp oligo GAAGGGGTTGGTTGGATGAA 58 acagggttgattctcagcccttcgccctccc Partial amplicon ctatattcatccaaccaaccccttcgccs 59 ccggcggtggtttctggggtgacagggttga Partial amplicon ttctcagcccttcgccc 60 tatgctgcccgcgccaccggccggtcagccg Partial amplicon tctggccgtcgccgtgggcggcgcagcggcg gtgccggcggtggtttctggggtgacagggt tgattct 61 TGCCTATGCTGCCCGCGCCAC Non-T7 amp oligo 62 TGCTGCCCGCGCCA Non-T7 amp oligo 63 tgcctatgctgcccgcgccaccg Amp oligo hybridizing region 64 TGCTGCCCGCGCCAC Non-T7 amp oligo 65 TGCTGCCCGCGCCACC Non-T7 amp oligo 66 TGCTGCCCGCGCCACCG Non-T7 amp oligo 67 ugauucucagcccuucgC Probe 68 agggttgattctcagcccttcgccc Probe target region 69 gccggtcagccgtctggccgtcgccgtgggc Probe target region ggcgcagcggcggtgccggcggtggtttctg gggtgacagggttgattctcagcccttcgcc c 70 tgcctatgctgcccgcgccaccggccggtca Amplicon gccgtctggccgtcgccgtgggcggcgcagc ggcggtgccggcggtggtttctggggtgaca gggttgattctcagcccttcgccctccccta tattcatccaaccaaccccttcgccg 71 ugauugucagcccuucgC Probe 72 ugauugucagcccuucg Probe 73 AATTTAATACGACTCACTATAGGGAGA T7 promoter sequence 74 accgccgcugcgccgcccacggcgTTTAAAA Target capture oligo 75 accgccgcugcgccgcccacggcg Target-hybridizing sequence of SEQ ID NO: 74 76 agcggcggggcgcugggccuggucTTTAAAA Target capture oligo 77 agcggcggggcgcugggccugguc Target-hybridizing sequence of SEQ ID NO: 76 78 ccacaagcuuagaagauagagagG Internal control probe 79 CTATCTTCTAAGCTTG Probe protection oligo Note that the amplicon and partial amplicon sequences are illustrated herein and in the Sequence Listing as DNA, however, ordinarily skilled artisans understand that amplification products generated during TMA reactions are either RNA or DNA, depending upon the stage in the amplification cycle. DNA designation is provided herein only for convenience, and not limitation. ¹N at position 1 is C or is absent, N at position 16 is G or is absent, and N at position 17 is G or is absent. In some embodiments, if N at position 16 is G and N at position 17 is absent, then N at position 1 is C.

From the foregoing, it will be appreciated that, although specific embodiments of the invention have been described herein for purposes of illustration, various modifications may be made without deviating from the spirit and scope of the invention. Accordingly, the invention is not limited except as by the appended claims. All publications, patents, and patent applications cited herein are hereby incorporated by reference in their entireties for all purposes. 

What is claimed is:
 1. A combination of at least two oligomers for determining the presence or absence of hepatitis E virus (HEV) in a sample, said oligomer combination comprising: at least two amplification oligomers for amplifying a target region of an HEV target nucleic acid, wherein (a) at least one amplification oligomer is selected from the group consisting of (i) an oligomer comprising a target-hybridizing sequence consisting of a sequence that is from about 14 to about 23 contiguous nucleotides contained in the sequence of SEQ ID NO:63 and that includes at least the sequence of SEQ ID NO:26, including RNA equivalents and DNA/RNA chimerics thereof, and (ii) an oligomer comprising a target-hybridizing sequence consisting of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof; and (b) at least one amplification oligomer that is a promoter primer comprising a target-hybridizing sequence consisting of SEQ ID NO:24 or SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof and further comprising a promoter sequence joined to the 5′ end of the target hybridizing sequence.
 2. A kit comprising a combination of at least two oligomers for determining the presence or absence of hepatitis E virus (HEV) in a sample, said oligomer combination comprising: at least two amplification oligomers for amplifying a target region of an HEV target nucleic acid, wherein (a) at least one amplification oligomer is selected from the group consisting of (i) an oligomer comprising a target-hybridizing sequence consisting of a sequence that is from about 14 to about 23 contiguous nucleotides contained in the sequence of SEQ ID NO:63 and that includes at least the sequence of SEQ ID NO:26, including RNA equivalents and DNA/RNA chimerics thereof, and (ii) an oligomer comprising a target-hybridizing sequence consisting of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof; and (b) at least one amplification oligomer that is a promoter primer comprising a target-hybridizing sequence consisting of SEQ ID NO:24 or SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof and further comprising a promoter sequence joined to the 5′ end of the target hybridizing sequence.
 3. A reaction mixture comprising a combination of at least two oligomers for determining the presence or absence of hepatitis E virus (HEV) in a sample, said oligomer combination comprising: at least two amplification oligomers for amplifying a target region of an HEV target nucleic acid, wherein (a) at least one amplification oligomer is selected from the group consisting of (i) an oligomer comprising a target-hybridizing sequence consisting of a sequence that is from about 14 to about 23 contiguous nucleotides contained in the sequence of SEQ ID NO:63 and that includes at least the sequence of SEQ ID NO:26, including RNA equivalents and DNA/RNA chimerics thereof, and (ii) an oligomer comprising a target-hybridizing sequence consisting of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof; and (b) at least one amplification oligomer that is a promoter primer comprising a target-hybridizing sequence consisting of SEQ ID NO:24 or SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof and further comprising a promoter sequence joined to the 5′ end of the target hybridizing sequence.
 4. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (a) comprises a target-hybridizing sequence consisting of SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, SEQ ID NO:32, SEQ ID NO:61, SEQ ID NO:62, SEQ ID NO:64, SEQ ID NO:65, or SEQ ID NO:66, including RNA equivalents and DNA/RNA chimerics thereof.
 5. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (a) comprises a target-hybridizing sequence consisting of SEQ ID NO:29 or SEQ ID NO:64, including RNA equivalents and DNA/RNA chimerics thereof.
 6. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (a) comprises the target-hybridizing sequence consisting of SEQ ID NO:28, including RNA equivalents and DNA/RNA chimerics thereof.
 7. The reaction mixture of claim 6, wherein the at least one amplification oligomer of (a) comprises a target-hybridizing sequence consisting of SEQ ID NO:29, SEQ ID NO:30, SEQ ID NO:31, or SEQ ID NO:32, including RNA equivalents and DNA/RNA chimerics thereof.
 8. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (b) comprises a target-hybridizing sequence consisting of SEQ ID NO:24 or SEQ ID NO:46, including RNA equivalents and DNA/RNA chimerics thereof.
 9. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (b) comprises a target-hybridizing sequence consisting of SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof.
 10. The reaction mixture of claim 9, wherein the nucleobase at position 1 of SEQ ID NO:56 is guanine (G).
 11. The reaction mixture of claim 3, wherein said combination comprises an amplification oligomer as in (a)(i), an amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b).
 12. The reaction mixture of claim 11, wherein the amplification oligomer as in (a)(i) comprises the target-hybridizing sequence consisting of SEQ ID NO: 65, or an RNA equivalent or DNA/RNA chimeric thereof; the amplification oligomer as in (a)(ii) comprises the target-hybridizing sequence consisting of SEQ ID NO: 29, or an RNA equivalent or DNA/RNA chimeric thereof; the first amplification oligomer as in (b) comprises the target-hybridizing sequence consisting of SEQ ID NO:24, or an RNA equivalent or DNA/RNA chimeric thereof; and the second amplification oligomer as in (b) comprises the target-hybridizing sequence consisting of SEQ ID NO:56, or an RNA equivalent or DNA/RNA chimeric thereof.
 13. The reaction mixture of claim 3, wherein said combination comprises a first amplification oligomer as in (a)(ii), a second amplification oligomer as in (a)(ii), a first amplification oligomer as in (b), and a second amplification oligomer as in (b).
 14. The reaction mixture of claim 3, wherein the combination comprises a set of first, second, and third amplification oligomers comprising a set of first, second, and third target-hybridizing sequences, respectively, wherein the set of target-hybridizing sequences consists of: (i) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:24, including RNA equivalents and DNA/RNA chimerics thereof; (ii) SEQ ID NO:65, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iii) SEQ ID NO:29, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (iv) SEQ ID NO:66, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; (v) SEQ ID NO:65, SEQ ID NO:24, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof; [randl] or (vi) SEQ ID NO:62, SEQ ID NO:29, and SEQ ID NO:56, including RNA equivalents and DNA/RNA chimerics thereof.
 15. The reaction mixture of claim 3, wherein the at least one amplification oligomer of (a) comprises a target-hybridizing sequence consisting of SEQ ID NO:31, SEQ ID NO:30, SEQ ID NO:29, SEQ ID NO:66, SEQ ID NO:65, SEQ ID NO:64, SEQ ID NO:62, SEQ ID NO:35, SEQ ID NO:34, SEQ ID NO:33, or SEQ ID NO:61, including RNA equivalents and DNA/RNA chimerics thereof.
 16. The reaction mixture of claim 3, wherein the promoter sequence is a T7 promoter sequence.
 17. The reaction mixture of claim 16, wherein the T7 promoter sequence has the sequence shown in SEQ ID NO:73.
 18. The reaction mixture of claim 3, further comprising at least one detectably labeled detection probe oligomer comprising a target-hybridizing sequence that is from about 14 to about 28 nucleotides in length and is configured to specifically hybridize to a target sequence contained within SEQ ID NO:39 or the complement thereof, and wherein the at least one detection probe oligomer contains a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone.
 19. The reaction mixture of claim 3, wherein at least one of the amplification oligomers of (a) and (b) contains a 2′-methoxy backbone at one or more linkages in the nucleic acid backbone. 